Corticosteroid treatment in the management of idiopathic granulomatous mastitis to avoid unnecessary surgery

Abstract

Systemic therapy with corticosteroids is an effective and appropriate treatment option for IGM. It can provide complete disease resolution and prevent recurrence in the long term. A multidisciplinary approach including specialists in the fields of both general surgery and infectious diseases is essential for the diagnosis, treatment and follow-up of IGM.

Idiopathic granulomatous mastitis: an institutional experience

“…According to literature, IGM typically affects parous females in the reproductive age group (1,12,13,(17)(18)(19). These findings were confirmed in our study, although there were exceptions.…”

The evaluation of the efficacy of local steroid administration in idiopathic granulomatous mastitis: The preliminary results

“…There is controversy regarding the treatment of IGM patients. Studies have reported that systemic steroid treatment is very effective treatment option . However, long‐term high‐dose administration has numerous side effects .…”

Idiopathic granulomatous mastitis: an inflammatory breast condition with review of the literature

“…There is still considerable controversy over definitive treatment of GM. Treatment options include medical management with antibiotics, steroid therapy and immunosuppressive agents, as well as more invasive approaches such as surgical excision and abscess drainage 6. Much of the recent literature has found corticosteroid therapy to be an effective means of GM resolution with a smaller chance of recurrence 3 5–7.…”