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- Title
İdiopatik granulomatöz mastit: Zor tanı ve yönetim.
- Authors
Çiftci, Fatih; Anuk, Turgut
- Abstract
Objective: Idiopathic granulomatous mastitis (IGM) is an infrequent chronic inflammatory condition of breast. It is hard to diagnose and treat due to its unusual aetiology and pathogenesis. The goal of this study is to assess the clinical and radiological findings, type of treatment approaches, clinical outcome, and recurence in patients treated with IGM. Methods: We included the patients diagnosed with IGM histopathologically between July 2003 and October 2015. Ultrasonography (US) and mammography (MMG) results, follow-up and recurrence data, and medical outcome data were gained from patients' records. Results: The symptom that is common in all patients was an irregular, firm, and painful mass. Main USG findings were abscess and mass formation, and parenchymal heterogeneity, while main MMG finding was an increase in asymmetric density. As surgical technique, wide local excision was performed in 23 (63.8%) patients, and incisional biopsy with abscess drainage in 13(36%) patients. Conclusions: IGM often poses a diagnostic dilemma by mimicking malignancy. While USG finding of parenchymal heterogeneity, abscess formation with axillary lymphadenomegaly support the diagnosis of inflammation, these findings do not necessarily exclude carcinoma. Hence, histopathologic verification is obligatory to provide a certain diagnosis. Extensive surgery may play a role in treatment of IGM.
- Publication
Dicle Medical Journal / Dicle Tip Dergisi, 2017, Vol 44, Issue 2, p167
- ISSN
1300-2945
- Publication type
Article
- DOI
10.5798/dicletip.319745