TITLE:
Granulomatous Mastitis: Incidence and Experience in a Mexican Institute
AUTHORS:
Arnoldo Topete, Olin Carrasco, Gabriel Barrera, Juan Garzón, Eduardo Gutierrez, Cuahutémoc Márquez, Rodrigo Dávila, Marco Cuervo, María Irene Rivera
KEYWORDS:
Idiopathic Granulomatous Mastitis, Incidence and Experience, Descriptive Retrospective Study
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.7 No.6,
June
4,
2019
ABSTRACT: The significance of this work is that chronic granulomatous disease can mimic two common breast diseases; breast cancer and breast abscess; so it is mandatory that the diagnosis is made in order to avoid mistaken carcinoma diagnosis. On the other hand, the current treatment of this particular disease still remains controversial. Objectives: The aim of this study is to expose and describe the chronicity and the impact in a patient’s quality of life with Granulomatous Mastitis diagnosis. We describe the evolution of the disease and the treatment of the disease in a Mexican Institution. Material and methods: In a descriptive retrospective study we identified 9 patients with idiopathic granulomatous mastitis (IMG), all of them were diagnosed with histopathological findings. Results: In a period of time between January 2005 and December 2017, we included a total of 9 female patients. All of them have had histopathological findings consistent with granulomatous mastitis. The age range was 25 - 83 years old (mean 50.8 yrs). In 4 patients (44.4%) had the right side affected, three patients (33.3%) had the left side affected and 2 patients (22.2%) had a bilateral presentation. In 3 patients (33.3%) we observed more than one affected quadrant and 4 patients (44.4%) had a diffuse presentation on image. The most common symptom was breast pain in 9 patients (100%) and the most common sign was the presence of a nodule, 8 patients (88.8%). We observed erythema in 7 cases (77.7%) followed by abscess, edema and pus secretion in 6 patients (66.6%). The most frequent treatment was the use of a combination of NAIDs and antibiotic in 8 patients (88.8%). Six patients were incised with scalp and drained. Six patients underwent mastectomy.