Granulomatous Mastitis: Imaging Findings with Histopathologic Correlation

Memiş, Ayşenur; Bilgen, Işıl Günhan; Üstün, Esin Emin; Özdemir, Necmettin; Erhan, Yı́ldı́z; Kapkaç, Murat

doi:10.1053/crad.2002.1056

Cited by 102 publications

(96 citation statements)

References 8 publications

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“…Recurrences, fistula formation, and secondary infection are well-documented complications. [4][5][6][7][8][9][10][11][12] Corticosteroid treatment also has its advocates and has been reported as decreasing the lesion size and improving wound healing. 8 The salient point with regard to treatment appears to be obtaining a correct pre-operative diagnosis, as it would be completely inappropriate to treat a patient with active infection with corticosteroids, or to deprive a patient with active tuberculosis of anti-tuberculous medication.…”

Section: Figure 7: Recurrence Ratesmentioning

confidence: 99%

Granulomatous mastitis-a challenging surgical entity

Thrishuli

Kamath

2017

Int Surg J

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Background: Idiopathic granulomatous mastitis is a rare benign breast disease, first described by Kessler and Wolloch in 1972. It is characterized by chronic necrotizing granulomatous lobulitis of unknown aetiology. The objective of the study is to find out the clinical and management profile of granulomatous mastitis (GM). This study was carried out at JSS hospital, Mysore, Karnataka, India during the period 2014-2016.Methods: Histopathologically diagnosed cases of GM were studied. Data included, detailed history, examination, clinical diagnosis, ultrasound, mammogram and fine needle aspiration cytology (FNAC). All patients were followed for a period of 6 months. Recurrent cases were managed by wide excision and followed for another period of 6 months.Results: 8 patients who were hisptopathologically diagnosed to have granulomatous mastitis were studied. The mean age was found to be 43.5 years. All patients presented with a painless breast lump and were unilateral. The incidence of the same was found to be higher (3.7%) compared to other large volume studies. The best treatment modality with least recurrence in 4 cases was wide local excision and 1 case of quandrantectomy.Conclusions: GM is an uncommon chronic inflammatory disease of the breast. Usually involving a single non-lactating breast in reproductive age group. It clinically mimics tuberculosis and carcinoma. Mammography remains non-conclusive. Excision and wide excision biopsy are both diagnostic and therapeutic in majority of cases. Treatment includes short course of steroids and antibiotic along with close regular surveillance.

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Section: Figure 7: Recurrence Ratesmentioning

confidence: 99%

Granulomatous mastitis-a challenging surgical entity

Thrishuli

Kamath

2017

Int Surg J

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“…İdyopatik lobüler granülomatöz mastitin US ve mammografik görü-nümleriyle ilgili yayın sayısı oldukça fazladır (3,4,14,16,17). Meme dokusu mammografiyi yorumlamak için yeterince lipomatö özelliktey-se lezyonlar, keskin sınırlı, bazen konturları spikülasyon gösteren kitleler halinde izlenebilirler.…”

Section: Olguunclassified

“…Aynı hastanın farklı lezyonlarında değişik tipte zaman-kontrast eğrileri görülebilmektedir . Bu durum aynı hastada farklı evrelerdeki yangısal olayın farklı hücresel içeriğe ve vaskülari-zasyona sahip olmasıyla açıklanabilir (4,(16)(17)(18)(19). Bizim çalışmamızda 2 olgumuza MRG incelemesi yapılmıştır.…”

Section: Olguunclassified

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Idiopathic Lobular Granulomatous Mastitis Mimicking Malignancy with Clinical-Radiological Findings: Assessment of Three Cases

Solak¹,

Karaaslan²,

Genç³

et al. 2013

J Breasth Health

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Idiopathic lobular granulomatous mastitis (ILGM) is a relatively rare disease in women during reproductive life and may commonly mimic carcinoma. Histopathology is the most definitive method of diagnosis. Herein, we report three cases who had very similar clinical-radiological findings to malignancy. None of the women has systemic disorder or history of a specific infection. All lesions were widely excised. Histopathological investigation revealed a lobular, non-caseating granulomatous inflammation. Clinicians should consider the possibility of idiopathic granulomatous mastitis in young women with clinical and radiological findings which are similar to malignancy of breast lesions.

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“…El diagnóstico clínico de estas dos entidades es difícil; se confunden con cáncer de mama localmente avanzado (2,3,4,5). La mamografía y la ecotomografía mamaria, no son específicas para el diagnóstico de estas patologías (6).…”

Section: Introductionunclassified

Mastitis Granulomatosa Idiopática Y Mastitis De Células Plasmáticas: Experiencia De Tres Años

P.¹,

M.²,

B.³

et al. 2005

Rev. chil. obstet. ginecol.

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RESUMENSe evaluó el manejo de 13 pacientes con mastitis granulomatosa idiopática y mastitis de células plasmáticas, tratadas en el Hospital Félix Bulnes, por un período de tres años. Se estudió la relación con la edad, anticoncepción, embarazo, lactancia y la atopia. Se evaluaron las limitaciones de la mamografía y de la ecotomografía mamaria y el uso de la biopsia trucut. Se compararon los resultados del tratamiento médico y quirúrgico.PALABRAS CLAVES: Mastitis granulomatosa, mastitis de células plasmáticas SUMMARY 13 patients with granulomatous mastitis and plasmatic cell mastitis were studied in Felix Bulnes Hospital, for a period of 3 years. We studied it's relation with age, contraception, pregnancy, breastfeeding and atopy. The limitation of the mammography and the mammary ultrasound, as well as the trucut biopsy was evaluated. The results between the medical and surgical treatment were compared.

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Granulomatous Mastitis: Imaging Findings with Histopathologic Correlation

Cited by 102 publications

References 8 publications

Granulomatous mastitis-a challenging surgical entity

Granulomatous mastitis-a challenging surgical entity

Idiopathic Lobular Granulomatous Mastitis Mimicking Malignancy with Clinical-Radiological Findings: Assessment of Three Cases

Mastitis Granulomatosa Idiopática Y Mastitis De Células Plasmáticas: Experiencia De Tres Años

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