Steroids administered after vacuum-assisted biopsy in the management of idiopathic granulomatous mastitis

Deng, J Q; Cui, Shude; Yang, Yurong; Feng, Xiu-Long; Sun, Jiajie; Liu, J; Fan, Frank S.; Liao, Lijuan

doi:10.1136/jclinpath-2016-204287

Cited by 25 publications

(28 citation statements)

References 22 publications

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“…A wide local excision with steroid use is the most common treatment (Prasad et al, 2017;Deng et al, 2017;Mahmodlou et al, 2017). There is growing evidence that early introduction of immunosuppressive therapy might be useful in reducing the extent of surgery (Oran et al, 2013) Steroids are the most widely used agents in this context (Pandeyet et al, 2014).…”

Section: A Proposal Of a Clinically Based Classification For Idiopathmentioning

confidence: 99%

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A Proposal of a Clinically Based Classification for Idiopathic Granulomatous Mastitis

Yaghan

Hamouri

Ayoub

et al. 2019

Asian Pac J Cancer Prev

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Objectives:There is no consensus regarding the surgical or immunosuppressive treatment of idiopathic granulomatous mastitis (IGM). This study aimed to introduce a clinical classification system for IGM that might facilitate its treatment and predict recurrence.Methods:We analyzed the management of 68 patients with IGM at (Princess Basma Teaching Hospital and King Abdulla University Hospital (1994-2016) to find out if distinct patterns of presentation exist according to the following parameters: presence of a painful or painless breast mass, local inflammation, abscess formation, communication to the skin, and extra-mammary manifestation.Results:We identified four distinct patterns of IGM: A: (13.23 %) A hard, painless breast mass. B: (52.94 %) A hard, painful breast mass with gross inflammation. C: (26.47 %) A breast abscess-like presentation. D: (7. 35 %) A subacute presentation with ulceration, sinus, or fistula formation. Erythema nodosum might complicate any of these patterns. Wide local excision in pattern A was curative with zero recurrence rate. The recurrence rates in patterns B and C were 22.20 % and 50.00 %. Patterns B, C, and D were treated by a combination of surgery and prednisolone. In keeping with this, recent literature is in favor of a wider use of immunosuppression especially in the presence of pus and extra-mammary findings.Conclusion:IGM could be classified into 4 distinct patterns according to the presenting signs and symptoms. These patterns correlated with treatment, recurrence rate, and the gross operative findings. This is the first step toward a classification for IGM. Multicenter and Meta-analysis studies are essential for a comprehensive prognostic classification. Treatment of IGM in any institution should be the responsibility of a multidisciplinary team.

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Section: A Proposal Of a Clinically Based Classification For Idiopathmentioning

confidence: 99%

“…The etiology of IGM is still not clear. The most widely adopted theory considers IGM to be a local autoimmune disease that involves both humoral and cell-mediated immunity and results in non-caseating granulomas (Deng et al, 2017). No specific triggering antigens or infectious agents have been identified.…”

Section: Introductionmentioning

confidence: 99%

A Proposal of a Clinically Based Classification for Idiopathic Granulomatous Mastitis

Yaghan

Hamouri

Ayoub

et al. 2019

Asian Pac J Cancer Prev

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“…Nonetheless, surgical excision may be useful in providing accurate diagnosis 10 . After excision, if there is no infection, recurrence, or wound healing impairment, the treatment can be completed 10,11 .…”

Section: Discussionmentioning

confidence: 99%

“…DeHertogh et al 12 were the first to recommend the use of corticosteroids to treat IGM. Steroid treatment can be administered after excision in complicated and resistant cases, or in patients who had only an incisional biopsy and in initially unresectable lesions before surgery 11,13 . Early diagnosis and administration of corticosteroids may prevent repetitive and deforming breast biopsies, as well as long-term recurrence 13 .…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic granulomatous mastitis: case series

Siqueira¹,

Fontinele²,

Vieira³

et al. 2019

Mastology

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A mastite granulomatosa idiopática é uma doença rara que mimetiza outras condições patológicas, incluindo adenocarcinoma de mama, tuberculose de mama e abscesso. Foram analisados três pacientes com diagnóstico de mastite granulomatosa idiopática, que receberam como tratamento corticosteroide, antibioticoterapia em casos de abscessos e, em um caso, ressecção do segmento mamário afetado. Todas as pacientes evoluíram com regressão dos sintomas. ABSTRACTIdiopathic granulomatous mastitis is a rare disease that mimics other pathological conditions, including breast adenocarcinoma, breast tuberculosis, and abscess. Three patients diagnosed with idiopathic granulomatous mastitis were analyzed, receiving corticosteroid treatment, antibiotic therapy in cases of abscesses, and, in one case, resection of the affected breast segment. All patients exhibited regression of symptoms.

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Medical Treatment and Prognosis

KÖKSAL>

2023

Idiopathic Granulomatous Mastitis

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Steroids administered after vacuum-assisted biopsy in the management of idiopathic granulomatous mastitis

Cited by 25 publications

References 22 publications

A Proposal of a Clinically Based Classification for Idiopathic Granulomatous Mastitis

A Proposal of a Clinically Based Classification for Idiopathic Granulomatous Mastitis

Idiopathic granulomatous mastitis: case series

Medical Treatment and Prognosis

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