Idiopathic granulomatous mastitis: factors influencing recovery and recurrence
Journal Title: The European Research Journal - Year 2019, Vol 5, Issue 5
Abstract
Objectives: Idiopathic granulomatous mastitis (IGM) is an idiopathic, inflammatory, and benign disease of the breast. The aim of this study was to determine possible risk factors for the recurrence of IGM in patients treated with different treatment modalities. Methods: It was planned to explore the risk factors of the disease through the evaluation of the medical records of 81 patients with the relevant diagnosis in the archives of Hacettepe University. The medical records of the patients were retrospectively screened for information regarding age, sex, total number of pregnancies, duration of breastfeeding, rheumatologic diseases, size and recurrence of the radiologically detected lesions. The results of two-year follow-up of the patients after the treatment were evaluated. The rates of recovery and recurrence after the treatment were determined for patients who received antibiotic therapy alone, who underwent wide excision alone, who received antibiotic therapy in combination with steroid therapy, and who received added azathioprine and/or methotrexate therapy. Results: No significant difference was observed between 12 patients having recurrence and 69 patients having no recurrence. However, the recovery time was shorter for patients with a lesion size of ≤ 20 mm who underwent wide excision or received antibiotic therapy alone. Conclusion: Among patients with a mass size ≤ 20 mm, those treated with wide excision and antibiotic therapy alone had shorter recovery times compared with those who received immunosuppressive therapy. In addition, it may take more than two years to terminate the treatment in patients who received medical treatment alone.
Authors and Affiliations
Hüseyin Onur Aydın, Ataç Baykal, Ali Konan, Volkan Kaynaroğlu
Keywords
Related Articles
- EP ID EP628543
- DOI 10.18621/eurj.424016
- Views 90
- Downloads 0
Cytokines – major molecular messengers orchestrate between inflammation and cancer
Inflammation is the defensive mechanism against physical or chemical or thermal or infectious agents. Acute inflammation is a protective mechanism against any noxious stimuli by various mediators such as cytokines, chemo...
Effect of low-dose dopamine on depression score in patients with heart failure
Objective. This study aimed to assess the effects of low-dose dopamine on patients with depression in the intensive coronary unit. Methods: Relatives of 43 ICU patients enrolled in the study. Sociodemographic characteri...
Percutaneous drainage in treatment for spontaneous rectus abdominis hematoma due to rivaroxaban usage
Rivaroxaban is currently used to prevent stroke in patients with atrial fibrillation. Like all anticoagulants, rivaroxaban carries a risk of bleeding. There is a single reported case of rectus abdominis hematoma due to r...
Beyond weight loss after sleeve gastrectomy: improvement in health-related quality of life
Objectives: Obesity and related diseases are increasing and with the bariatric procedures both the excess weight and the prevalence of these related diseases are decreasing. Both obesity and related diseases lead to impa...
Impact of previous percutaneous coronary intervention on postoperative outcomes of coronary artery bypass grafting
Objective. The widespread use of percutaneous coronary intervention (PCI) has resulted in an increasing number of patients who have undergone prior PCI being referred for coronary artery bypass grafting (CABG). The aim o...