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2016, Number 4

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Cir Gen 2016; 38 (4)

Idiopathic granulomatous mastitis. Case report and review of literature

Soto GM, Maldonado PBE
Full text How to cite this article 10.35366/72782

DOI

DOI: 10.35366/72782
URL: https://dx.doi.org/10.35366/72782

Language: Spanish
References: 9
Page: 199-202
PDF size: 523.16 Kb.


Key words:

Granulomatous mastitis, breast cancer, prednisone, methotrexate.

ABSTRACT

Idiopathic granulomatous mastitis is a rare but benign condition that has a high morbidity. Its genesis is probably autoimmune and/or infectious. Clinically it may be mistaken for a malignancy of the breast. The imaging studies are of limited usefulness for precise diagnosis. The definitive diagnosis is histopathological and by exclusion of other granulomatous diseases. By virtue of their rarity still no consensus as to their treatment, it seems that the best results are obtained from surgical excision supplemented with medical treatment with antibiotics, steroids and immunosuppressants. We present a case report and review the most important aspects of this rare disease.


REFERENCES

  1. Peña-Santos G, Ruiz-Moreno JL. Mastitis granulomatosa idiopática tratada con esteroides y metotrexato. Ginecol Obstet Mex. 2011; 79: 373-376.

  2. Barrero PR, Benavides MA, León BM, Barrero VD, Vargas VV. Mastitis granulomatosa idiopática y mastitis de células plasmáticas, experiencia de tres años. Rev Chil Obstet Ginecol. 2005; 70: 323-327.

  3. Jurado SCF, Navarrete FG, Decamps SAM. Mastitis granulomatosa idiopática. Rev Cent Dermatol Pascua. 2012; 21: 65-68.

  4. Pérez PJA, Bohle OJ, Sánchez CG, Carrasco LC, Mariangel PP. Mastitis granulomatosa idiopática. Diagnóstico y tratamiento en 14 casos. Rev Chil Cir. 2007; 59: 259-263.

  5. Pérez JA, Carpio PD, Gac P. Mastitis granulomatosa idiopática EP. Rev Chil Cir. 2002; 54: 392-395.

  6. Gurleyik G, Aktekin A, Aker F, Karagulle H, Saglamc A. Medical and surgical treatment of idiophatic granulomatous lobular mastitis: a benign inflammatory disease mimicking invasive carcinoma. J Breas Cancer. 2012; 15: 119-123.

  7. Ocal K, Dag A, Turkmenoglu O, Kara T, Seyit H, Konca K. Granulomatous mastitis: clinical, pathological features and management. Breast J. 2010; 16: 176-182.

  8. Lester SC. Differential diagnosis of granulomatous mastitis. Breast J. 2005; 11: 534-535.

  9. Raj N, Macmillan RD, Ellis IO, Deighton CM. Rheumatologists and breasts: immunosuppressive therapy for granulomatous mastitis. Rheumatology (Oxford). 2004; 43: 1055-1056.




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Cir Gen. 2016;38