Treatment of bilateral granulomatous lobular mastitis during lactation with traditional Chinese medicine: A case report

Figure 1 Pictures of the patient's breasts on May 11, 2019. A: Photograph of the right breast masses, approximately 15 cm × 11 cm in size; B: Photograph of the left breast masses, approximately 13 cm × 9 cm in size.

Figure 2 Tunnel sign (a hypoechoic lesion that resembles a subcutaneous pathway with an exit at the skin) in the right breast on ultrasonography in the patient with granulomatous lobular mastitis.

Figure 3 Funnel sign (a hypoechoic, heterogeneous lesion that resembles a pipe with a wide, conical mouth and a narrow stem) in the right breast on ultrasonography in the patient with granulomatous lobular mastitis.

Figure 4 Quicksand sign (a hypoechoic, heterogeneous mass, which resembles fine sand) in the left breast on ultrasonography in the patient with granulomatous lobular mastitis.

Figure 5 Breast physical examination at the second visit. A: After 14 d of continuous administration of traditional Chinese medicine, the mass was reduced to 10 cm × 6 cm in the right breast; B: The mass was reduced to10 cm × 8 cm in the left breast, and the texture was softer than before.

Figure 6 Breast physical examination at the third visit. A: After 2 mo, the local mass was significantly reduced to approximately 4 cm × 2 cm in the right breast; B: The local mass was significantly reduced to approximately 1.5 cm × 1.5 cm in the left breast. Some purulent exudation was present.

Figure 7 Breast physical examination at the fourth visit. A: The right breast mass was not palpable; B: The left breast local mass was reduced to 2.5 cm × 1.0 cm, and the breach was almost healed.

Figure 8 Breast physical examination at the fifth visit. A: On November 23, 2019, no mass was palpable in the right breast; B: The local mass in the left breast was reduced to 1.3 cm, and the breach was completely healed.

Figure 9 No masses are palpable in the breasts. The shape of both breasts is well maintained, and there is no obvious scar tissue.