Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis

Dağ, Ahmet; Edizsoy, Akay; Berkeşoğlu, Mustafa

doi:10.1080/08941939.2021.1922552

Cited by 6 publications

(1 citation statement)

References 25 publications

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“…A 16–66% recurrence rate after surgical treatment has been reported ( 36 - 38 ). Wide surgical excision has recently acquired acceptability for treating an increasing number of GLM cases, but extended resection to obtain clean surgical margins may cause effusion, hematoma, and breast gland abnormalities, while limited surgical methods may result in a high tendency for recurrence ( 25 , 39 ). Regarding surgery, some studies have concluded that surgical operation is the ideal treatment strategy ( 9 , 35 , 40 - 42 ); however, some authors have advocated surgery as a last-line approach since surgical intervention may cause complications such as cosmetic disfigurement, poor wound healing, flap ischemia and sinus formation ( 1 , 22 , 43 ).…”

Section: Discussionmentioning

confidence: 99%

Staged operation in the surgical treatment of granulomatous lobular mastitis

Xie,

Qu,

Feng

et al. 2024

Gland Surg

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Background Granulomatous lobular mastitis (GLM) is a chronic inflammatory breast condition characterized by an unclear etiology and an undefined therapeutic approach. Surgical intervention is considered an alternative modality for managing GLM. Staged operation is the predominant and characteristic surgical approach in the treatment of GLM in our center; therefore, we evaluated the efficacy of staged operative techniques in this cohort study. Methods We retrospectively reviewed 212 patients with GLM who underwent staged operation between August 2020 and July 2022 in the inpatient department of our institute. Their clinical history information, clinic complaints, treatment details, surgical outcomes, follow-up results, and scores on the satisfaction questionnaire were analyzed. The patients were called for follow-up and consultation with a deadline of August 2023. Results The median follow-up time was 27 months (range, 14–37 months). In total, 212 patients were treated with three different staged procedures according to the individual assessment and patient willingness, including 168 patients who underwent one-stage debridement operation and two-stage suture operation (DO + SO), 25 patients who underwent one-stage debridement operation without suture (DO), and 19 patients who underwent one-stage debridement and simultaneous suture operation (DSO). The median recovery time was 29 days (range, 14–60 days). A minority of patients developed postoperative complications, including effusion (1.89%), flap ischemia (0.94%), areola-nipple ischemia (0.94%) and sinus tract formation (2.36%). The scores of the satisfaction questionnaire were 43.10±3.09, and 186 patients (87.74%) gave high scores for postoperative breast appearance. Only 5 of 212 patients (2.36%) developed recurrence. Conclusions Staged operation performed in our institute is an effective and safe surgical therapy in patients with GLM, yielding a short recovery time, low recurrence and good cosmetic results.

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