Idiopathic Granulomatous Mastitis - Diagnostic and Therapeutic Dilemma
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 7
Abstract
Idiopathic Granulomatous Mastitis is a rare benign breast disease that has to be differentiated from tuberculosis and other benign diseases of the breast. The diagnosis is mainly through histopathology. Due to its rarity, treatment modalities have not yet been established. We present here a retrospective review of 25 patients of Idiopathic Granulomatous Mastitis. The cases were reviewed for their mode of presentation, diagnosis and treatment. Idiopathic Granulomatous Mastitis was diagnosed in 25 out of 1586 patients with benign breast disease. The age group was in the range of 17 – 60 years (mean age of 33 years). The most common mode of presentation was a lump in the breast – 23 patients (92%). FNAC was done in 21 patients and a diagnosis of Idiopathic Granulomatous Mastitis was made in 17 of them (81%). Expectant line of management was followed in 11 patients (44%). 14 patients (56%) were treated surgically or medically. The recurrence rate in medically treated patients was 50% and for the surgically treated patients was between 25-50%
Authors and Affiliations
S G Subramanyam, H Raja, R Gayatri, Bincy Zacharia
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