An Overview of 98 Cases of Idiopathic Granulomatous Mastitis

Abstract

Background: Granulomatous mastitis is an uncommon, benign, chronic inflammatory condition of breast of uncertain etiology. The clinical features mimic tuberculosis and breast cancer that leads to diagnostic and therapeutic dilemma. Its optimal management is still unclear with high recurrence rate. Purpose: The purpose of this study is to present the clinico-pathological features of patients with Granulomatous mastitis and our experience with the medical and surgical treatment of these patients. Methods: A retrospective analysis of prospectively maintained data of 98 patients diagnosed as Idiopathic Granulomatous Mastitis (IGM) from July2010 to sep2015 was performed. All patients received steroid therapy with or without surgery. Average follow up period was 20 months. Results: The mean age of the patients was 30 years (range between 22–49years). Most of them were married, parous and had history of breast feeding. Patients of IGM (79.95%) responded well with combined medical (with corticosteroids) and surgical treatment. Some patients (56.25%) also responded well with steroid treatment only. But in both the options of treatment there was recurrence (28.05% and 43.75% respectively). Conclusion: Patients responded well with combined medical treatment and surgery. So, this could be an option of treatment of GM. Further study is needed to come to a conclusion regarding its management.

Keywords: IGM-Idiopathic granulomatous mastitis, corticosteroids, surgery, tubercular mastitis

Cite this Article

Ahmed S., Azad K.A.K., Jabin N. An Overview of 98 Cases of Idiopathic Granulomatous Mastitis. Research & Reviews: Journal of Surgery. 2018; 7(1): 5–9p.