Inflammatory diseases of the non-lactating female breasts

Nair, C. Gopalakrishnan; Hiran,; Jacob, Pradeep; Ramachandran, Riju; Misha,

doi:10.1016/j.ijsu.2014.11.022

Cited by 22 publications

(10 citation statements)

References 11 publications

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“…This study describes the epidemiology, clinical aspects, diagnostics, management, and etiological agents of reported NLIM and compares subjects regarding their country's GNI per capita. Female patients of reproductive age are the most affected by NLIM (17,72), and only a few reviews have reported cases in men (73,74). In terms of age and sex distribution, the findings in this study coincide with the prevalence reported (92.9% female) in a study on breast tuberculosis in the Republic of Togo (73).…”

Section: Discussionsupporting

confidence: 87%

“…The incidence and prevalence of NLIM are challenging to estimate since most studies are published on lactational mastitis, and those regarding NLIM have several limitations in their methodology. The highest prevalence of NLIM occurs in women of reproductive age, whether breastfeeding or not (17)(18)(19). Males of any age can be affected as well (20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

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Non-lactational Infectious Mastitis in the Americas: A Systematic Review

et al. 2021

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Background: Non-lactational infectious mastitis (NLIM) is an inflammatory breast disease with broad clinical presentation. Inadequate treatment can lead to chronic infections that cause breast deformities. NLIM information is limited, especially in the Americas. A systematic review and meta-analysis have been conducted here.Methods: Literature search was conducted in three databases (Lilacs, PubMed, and Scielo) on NLIM cases in the Americas. Demographic, epidemiological, clinical, radiological, and laboratory data were extracted. The main characteristics and results were also compared according to the country's gross national income.Results: A total of 47 articles were included, resulting in 93 cases. The etiological agent was described in 86 (92.5%) patients. Bacteria were the most prevalent etiology (73; 84.8%). Amongst bacterial diagnoses, more frequent cases were Mycobacterium tuberculosis (28; 38.4%); Corynebacterium spp. (15; 20.5%); non-tuberculous mycobacteria (13; 17.8%). The cases were reported in eight different countries, with the USA being the country with the highest number of cases (35; 37.6%). Patients from high-income countries group presented a shorter diagnostic time when compared to low, low-middle, and upper-middle-income countries. A greater number of radiographic studies with pathological findings were described in high-income countries.Conclusion: Non-lactational infectious mastitis is a complex public health problem with diagnostic and treatment challenges. Hence, multi-professional approach-based additional studies are recommended on its epidemiology, diagnosis, treatment, and control.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Non-lactational Infectious Mastitis in the Americas: A Systematic Review

et al. 2021

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“…Breast abscess could also be consequences of nonlactational diseases. The causes of nonpuerperal breast abscess are mostly involved with periductal mastitis and granulomatous lobular mastitis . Technically, it is absolutely feasible to perform such a surgery on patients with nonlactational breast abscess.…”

Section: Discussionmentioning

confidence: 99%

Surgical drainage of lactational breast abscess with ultrasound‐guided Encor vacuum‐assisted breast biopsy system

et al. 2019

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Lactational breast abscess is a serious complication of mastitis and commonly diagnosed in breast‐feeding women. The traditional drainage of breast abscess was often performed with incisive technique which may result in prolonged healing time, regular dressings, dressing pain, interfering with breastfeeding and unsatisfactory cosmetic outcome. As minimal invasive alternatives to incisive drainage, needle aspiration or percutaneous catheter placement cannot completely replace incisive drainage for the inability to treat large, multiloculated or chronic abscess. Vacuum‐assisted breast biopsy system (VABB) has been successfully applied in the treatment of benign breast diseases with satisfactory cosmetic outcomes. Among VABB devices, EnCor system has some distinctive features that make it an appropriate candidate for the treatment of lactational breast abscesses. In this study, for the first time, we investigated the feasibility, efficacy, and cosmetic results of surgical drainage of lactational breast abscess with US‐guided Encor VABB system. Our data suggests this procedure could serve as a promising alternative for women with lactational breast abscess who require incisive intervention with high cure rate, relatively short healing time, low recurrence rate, few complications, satisfactory cosmetics outcome and without interfering with breastfeeding.

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“…Our results showed that the risk of breast cancer in women increased significantly as the occurrence of non-lactational mastitis increased. Non-lactational mastitis is known to be related to chronic inflammation secondary to infection-induced cytokines 30 , as well as inflammatory, infectious, hormonal and autoimmunity factors 31,32 . Reportedly, the presence of exogenous and endogenous pathogen-associated molecular patterns (PAMPs) (bacteria, viruses and fungi, as well as endogenous molecules released from injured or dying cells) can cause the activation of inflammatory pathways 33 .…”

Section: Discussionmentioning

confidence: 99%

Risk of breast cancer in women with non-lactational mastitis

Chang

Lin

Yin

2019

Sci Rep

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Little is known regarding the association of non-lactational mastitis women with breast cancer risk. This population-based cohort study examined the breast cancer risk in women with non-lactational mastitis. We identified 3,091 women with non-lactational mastitis between 2000 and 2011 using the Taiwan National Health Insurance Research Database. We performed 1:4 propensity score matching by age, socioeconomic status and comorbidities and identified 12,364 women without non-lactational mastitis. The mean age of women with non-lactational mastitis was 37.9 years; these women had a higher breast cancer risk than the comparison group (adjusted hazard ratio = 1.94, 95% confidence interval: 1.30–2.90). The incidence rates of breast cancer in women with non-lactational mastitis and the comparison group were 14.79 and 7.57 per 10,000 person-years, respectively. Furthermore, non-lactational mastitis was a risk factor for breast cancer in women aged <50 years, women with lower socioeconomic status and women with hormonal medication (p < 0.05). Women who had more episodes of non-lactational mastitis had a higher risk of developing a breast cancer. Thus, the risk of breast cancer in women with non-lactational mastitis is significantly higher than those without non-lactational mastitis.

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Inflammatory diseases of the non-lactating female breasts

Abstract: Idiopathic granulomatous mastitis is an uncommon inflammatory disease of the non-lactating breast. The combination of limited surgical treatment and systemic prednisolone given for 6 months effectively controls the disease as well as prevents recurrence.

Cited by 22 publications

References 11 publications

Non-lactational Infectious Mastitis in the Americas: A Systematic Review

Non-lactational Infectious Mastitis in the Americas: A Systematic Review

Surgical drainage of lactational breast abscess with ultrasound‐guided Encor vacuum‐assisted breast biopsy system

Risk of breast cancer in women with non-lactational mastitis

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