Mastites inflammatoires et infectieuses du sein en dehors de la grossesse et de la période d’allaitement : recommandations

Laas, Enora; Touboul, C.; Kerdraon, Olivier; Catteau-Jonard, Sophie

doi:10.1016/j.jgyn.2015.09.055

Cited by 18 publications

(13 citation statements)

References 111 publications

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“…Patients diagnosed with inflammatory breast were managed according to the latest French guidelines [ 9 – 11 ]. S1 Fig reproduced the decisional tree for the management of inflammatory breast patients.…”

Section: Methodsmentioning

confidence: 99%

Incidence of inflammatory breast cancer in patients with clinical inflammatory breast symptoms

et al. 2017

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BackgroundTo describe a large cohort of women with non-puerperal inflammatory breast and to identify characteristics of inflammatory breast cancer.MethodsAll patients consulting for inflammatory breast syndrome in the breast unit of our tertiary University hospital between September 2013 and December 2015 were prospectively included. We excluded women who were pregnant or in the postpartum period. Patients underwent systematic clinical examination and imaging (breast ultrasonography and mammography). A biopsy was performed if the clinician suspected a malignant lesion of the breast. Clinicopathologic and radiologic data were registered. Statistics were performed using R (3.0.2 version) software.ResultsAmong the 76 patients screened and included, 38 (50%) had a malignant lesion at final diagnosis, 21 (27.6%) were diagnosed with infectious disease and 17 (22.4%) with inflammatory disease of the breast. When compared to patients with benign disease, patients with a malignant lesion were significantly older (p = 0.022, CI95% 1.78–14.7), had a significantly bigger palpable mass (p<0.001, CI 95% 22.8–58.9), were more likely to have skin thickening (p = 0.05) and had more suspicious lymph nodes at clinical examination (p<0.001, CI 95% 2.72–65.3). Precise limits on ultrasonography were significantly associated with benign lesions. The presence of a mass (p = 0.04), micro calcifications (p = 0.04) or of focal asymmetry (p<0.001, CI95% 1.3–618) on mammography was significantly associated with malignant disease.ConclusionInflammatory breast cancer was common in our cohort of women consulting for inflammatory breast syndrome. Identifying these patients with high-risk malignancy is crucial in the management of an inflammatory breast.

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Section: Methodsmentioning

confidence: 99%

Incidence of inflammatory breast cancer in patients with clinical inflammatory breast symptoms

et al. 2017

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“…Patients with a history of at least two recurrent episodes and/or presentation with draining sinuses were also included [4]. By contrast, puerperal breast abscesses were defined as breast abscesses during pregnancy, during the first 3 months after labor without lactation, during lactation, or during the first 3 months after cessation of lactation [5]. From a microbiological point of view, isolates in pure culture with abundant growth in the plates were included.…”

Section: Isolated Bacteriamentioning

confidence: 99%

“…The microbial etiology of breast abscesses has been previously published in different studies, and the main causative agents belong to the genera Staphylococcus [3][4][5], although other kinds of microorganisms have been implicated, such as Streptococcus, Enterococcus, and Enterobacteriaceae. However, in non-puerperal abscesses, a greater variability of microorganisms was found displaying mixed growth patterns [6].…”

Section: Introductionmentioning

confidence: 99%

Breast Abscesses Caused by Anaerobic Microorganisms: Clinical and Microbiological Characteristics

2020

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The objectives of this study were to report the antimicrobial susceptibility of 35 clinically significant anaerobic bacteria isolated from breast abscesses between March 2017 and February 2020 in a tertiary hospital in Granada (Spain) and to describe key clinical features of the patients. Species identification was performed mainly by MALDI-TOF MS. Antimicrobial susceptibility tests were carried out against benzylpenicillin, amoxicillin–clavulanic acid, imipenem, moxifloxacin, clindamycin, metronidazole, and piperacillin–tazobactam using the gradient diffusion technique and European Committee on Antimicrobial Susceptibility Testing EUCAST breakpoints (except for moxifloxacin). The most frequent anaerobes were Finegoldia magna (31.4%; n = 11), Actinomyces spp. (17.1%; n = 6), Propionibacterium spp. (17.1%; n = 6), and Prevotella spp. (14.2%; n = 5). Imipenem, amoxicillin–clavulanic acid, and piperacillin–tazobactam were universally active against all genera tested. High overall resistance rates to clindamycin were observed, especially for Gram-positive anaerobic cocci (56.2%) and Gram-positive anaerobic bacilli (38.4%). High resistance rates to metronidazole were also observed for Gram-positive (76.9%) and Gram-negative anaerobic bacilli (50%). High resistance rates to moxifloxacin were found for Gram-negative anaerobic bacilli (50%) and Gram-positive anaerobic cocci (31.2%). No breast abscess cases of Bacteroides spp. were detected. Routine antimicrobial susceptibility testing for anaerobes in breast abscesses may contribute to allow empirical therapies to be selected in accordance with local data on resistant strains.

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“…The texts and guidelines, previously published in French [1,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20], were amended by external readers.…”

Section: Methodsmentioning

confidence: 99%

Clinical practice guidelines from the French College of Gynecologists and Obstetricians (CNGOF): benign breast tumors – short text

Lavoué

Fritel

Antoine

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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Mastites inflammatoires et infectieuses du sein en dehors de la grossesse et de la période d’allaitement : recommandations

Cited by 18 publications

References 111 publications

Incidence of inflammatory breast cancer in patients with clinical inflammatory breast symptoms

Incidence of inflammatory breast cancer in patients with clinical inflammatory breast symptoms

Breast Abscesses Caused by Anaerobic Microorganisms: Clinical and Microbiological Characteristics

Clinical practice guidelines from the French College of Gynecologists and Obstetricians (CNGOF): benign breast tumors – short text

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