Granulomatous mastitis: A retrospective review of 49 patients
Journal Title: Dicle Tıp Dergisi - Year 2015, Vol 42, Issue 1
Abstract
Objective: Idiopathic granulomatous mastitis, a rare, benign, chronic inflammatory condition of the breast, which usually mimics breast carcinoma. In this study, we report on the management of 49 cases of idiopathic granulomatous mastitis and their clinical presentation. Methods: The breast and anatomical databases of one center were reviewed from 2007 to 2012 to identify patients with histological diagnosis of idiopathic granulomatous mastitis. Clinical and demographic characteristics were retrieved and treatment modalities were were recorded. Results: The mean patient age was 37.71±7.1 years. There were no differences between the management groups about etiological and demographic factors. The rate of recurrence in group 1, group 2, and group 3 was 8.3%, 14.8% and 20%, respectively; there were no statistically significant difference among the groups. Conclusion: Steroids and surgical methods codified in idiopathic granulomatous mastitis may be preferred. We recommend steroid therapy as first-line treatment. However, prospective, randomized clinical trials are needed to determine the treatment algorithm. Key words: Idiopathic, granulomatous, mastitis, management
Authors and Affiliations
Sadullah Girgin, Ömer Uslukaya, Edip Yılmaz, Uğur Fırat, Hatice Gümüş, Murat Kapan, Metehan Gümüş
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