Granulomatous Mastitis - A Case Report

Abstract

Granulomatous mastitis is indeed a rare affliction, but it can constitute a veritable diagnosis and treatment predicament for several reasons. The etiology of this disease remains shrouded in mystery and the treatment depends on the gravity and extension of the lesions, ranging from corticosteroids to surgical excision with an important recurrence rate. We present the case of 40-year-old woman with granulomatous mastitis for which clinical and radiological remission was obtained via medical treatment.

A single center experience with a rare clinical entity of idiopathic granulomatous mastitis: Case series and review of the literature

“…It is a disease of childbearing middle-aged women (<50 years old with an average age of 36 years old). Usually unilateral with approximately 15 % presents with lymph node involvement [ 6 , [8] , [9] , [10] ].…”

“…Other symptoms include unilateral mastodynia, lymphadenopathy (in 15 % of patients) and local skin changes such as erythema, hotness, swelling, ulceration and skin dimpling which mimic may mimic breast cancer. Complications of IGM include suppuration, multiple and recurrent abscess formation and open draining sinuses [ [6] , [7] , [8] , [9] , 11 ].…”

“…After exclusion of any infectious process, oral prednisolone can be started and tapered until clinical response is achieved. If the patient developed recurrence or was resistant to steroids, methotrexate is started (10–15 mg/week with a low dose steroid for 12–24 months) [ 8 , 9 , 11 ].…”