Diopathic Granulomatous Mastitis: A Multifaced Approach
DOI:
https://doi.org/10.52783/jns.v14.3890Keywords:
Idiopathic granulomatous mastitis, Breast, Benign, MastitisAbstract
Idiopathic granulomatous mastitis remains one the most mismanaged benign breast disease due to the difficulty in its diagnosis. As it closely resembles breast cancer as well as tubercular and pyogenic breast abscess, surgeons often excise the lesion or drain the abscess as soon as possible. This leads to an increase in recurrences and causes significant disfigurement. Patients are often distressed, in chronic pain and have massive financial burdens due to repetitive surgical procedures, given the waxing and waning course of this disease. Hence, a standardized multidisciplinary approach is required to effectively treat the disease with minimal relapses and recurrences..
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Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. American journal of clinical pathology. 1972 Dec 1;58(6):642-6.
Prasad S, Jaiprakash P, Dave A, Pai D. Idiopathic granulomatous mastitis: an institutional experience. Turkish journal of surgery. 2017;33(2):100.
Baslaim MM, Khayat HA, Al-Amoudi SA. Idiopathic granulomatous mastitis: a heterogeneous disease with variable clinical presentation. World journal of surgery. 2007 Aug;31:1677-81.
Lester SC. Differential diagnosis of granulomatous mastitis. The Breast Journal. 2005 Nov;11(6):534-5.
Mansel RE, Webster DJ. Hughes, Mansel & Webster’s Benign disorders and diseases of the breast. 3rd edition.
Yuan QQ, Xiao SY, Farouk O, Du YT, Sheybani F, Tan QT, Akbulut S, Cetin K, Alikhassi A, Yaghan RJ, Durur-Subasi I. Management of granulomatous lobular mastitis: an international multidisciplinary consensus (2021 edition). Military medical research. 2022 Dec;9(1):1-5.
Altintoprak F, Kivilcim T, Ozkan OV. Aetiology of idiopathic granulomatous mastitis. World Journal of Clinical Cases: WJCC. 2014 Dec 12;2(12):852.
Benson JR, Dumitru D. Idiopathic granulomatous mastitis: presentation, investigation and management. Future Oncology. 2016 Jun;12(11):1381-94.
Sheybani F, Naderi H, Gharib M, Sarvghad M, Mirfeizi Z. Idiopathic granulomatous mastitis: Long-discussed but yet-to-be-known. Autoimmunity. 2016 May 18;49(4):236-9.
Zhou R, Lan L, Zheng L, Feng Q, Liao Y, Yuan Q, Wu G. Diagnosis and treatment of patients with granulomatous lobular mastitis. Chinese Journal of General Surgery. 2021:118-21.
Lin CH, Hsu CW, Tsao TY, Chou J. Idiopathic granulomatous mastitis associated with risperidone-induced hyperprolactinemia. Diagnostic pathology. 2012 Dec;7(1):1-6.
Bellavia M, Damiano G, Palumbo VD, Spinelli G, Tomasello G, Marrazzo A, Ficarella S, Bruno A, Sammartano A, Fiorentini T, Scio A. Granulomatous mastitis during chronic antidepressant therapy: Is it possible a conservative therapeutic approach?. Journal of breast cancer. 2012 Sep 1;15(3):371-2.
Omranipour R, Mohammadi S, Samimi P. Idiopathic granulomatous lobular mastitis-report of 43 cases from iran; introducing a preliminary clinical practice guideline. Breast care. 2013 Dec 1;8(6):439-43.
Yaghan R, Hamouri S, Ayoub NM, Yaghan L, Mazahreh T. A proposal of a clinically based classification for idiopathic granulomatous mastitis. Asian Pacific journal of cancer prevention: APJCP. 2019;20(3):929.
Farouk O, Abdelkhalek M, Abdallah A, Shata A, Senbel A, Attia E, Elghaffar MA, Mesbah M, Soliman N, Amin M, El-Tantawy D. Rifampicin for idiopathic granulomatous lobular mastitis: a promising alternative for treatment. World journal of surgery. 2017 May;41:1313-21.
Shojaee L, Rahmani N, Moradi S, Motamedi A, Godazandeh G. Idiopathic granulomatous mastitis: challenges of treatment in iranian women. BMC surgery. 2021 Dec;21:1-7.
Goulabchand R, Hafidi A, Van de Perre P, Millet I, Maria AT, Morel J, Le Quellec A, Perrochia H, Guilpain P. Mastitis in autoimmune diseases: review of the literature, diagnostic pathway, and pathophysiological key players. Journal of Clinical Medicine. 2020 Mar 30;9(4):958.
Nikolaev A, Blake CN, Carlson DL. Association between hyperprolactinemia and granulomatous mastitis. Breast J. 2016;22(2):224–31.
Bani‐Hani KE, Yaghan RJ, Matalka II, Shatnawi NJ. Idiopathic granulomatous mastitis: time to avoid unnecessary mastectomies. The breast journal. 2004 Jul;10(4):318-22.
Tan QT, Tay SP, Gudi MA, Nadkarni NV, Lim SH, Chuwa EW. Granulomatous mastitis and factors associated with recurrence: an 11-year single-centre study of 113 patients in Singapore. World Journal of Surgery. 2019 Jul 15;43:1737-45.io,l.
Toktas O, Konca C, Trabulus DC, Soyder A, Koksal H, Karanlik H, Kamali Polat A, Ozbas S, Yormaz S, Isik A, Sezgin E. A novel first-line treatment alternative for noncomplicated idiopathic granulomatous mastitis: combined intralesional steroid injection with topical steroid administration. Breast Care. 2021 Apr 19;16(2):181-7.
Xiao M, Li S, Tong S. Clinical analysis of treatment with granulomatous lobular mastitis by ultrasonography-guided abscess puncture aspiration or drainage combined with local application of triamcinolone acetonide for 46 cases. Chin Arch Gen Surg (Electron Ed). 2019;13(1):30-.
Korkut E, Akcay MN, Karadeniz E, Subasi ID, Gursan N. Granulomatous mastitis: a ten-year experience at a university hospital. The Eurasian journal of medicine. 2015 Oct;47(3):165.
Alper F, Karadeniz E, Güven F, Yılmaz Çankaya B, Özden K, Akçay MN. The evaluation of the efficacy of local steroid administration in idiopathic granulomatous mastitis: The preliminary results. The Breast Journal. 2020 Feb;26(2):309-11.
Çetin K, Sıkar HE, Göret NE, Rona G, Barışık NÖ, Küçük HF, Gulluoglu BM. Comparison of topical, systemic, and combined therapy with steroids on idiopathic granulomatous mastitis: a prospective randomized study. World journal of surgery. 2019 Nov;43:2865-73.
Altintoprak F, Kivilcim T, Yalkin O, Uzunoglu Y, Kahyaoglu Z, Dilek ON. Topical steroids are effective in the treatment of idiopathic granulomatous mastitis. World journal of surgery. 2015 Nov;39:2718-23.
Raj N, Macmillan RD, Ellis IO, Deighton CM. Rheumatologists and breasts: immunosuppressive therapy for granulomatous mastitis. Rheumatology. 2004 Aug 1;43(8):1055-6.
Ringsted S, Friedman M. A rheumatologic approach to granulomatous mastitis: A case series and review of the literature. International journal of rheumatic diseases. 2021 Apr;24(4):526-32.
Schmajuk G, Genovese MC. First report of idiopathic granulomatous mastitis treated with methotrexate monotherapy. The Journal of rheumatology. 2009 Jul 1;36(7):1559-.
Postolova A, Troxell ML, Wapnir IL, Genovese MC. Methotrexate in the treatment of idiopathic granulomatous mastitis. The Journal of rheumatology. 2020 Jun 1;47(6):924-7.
Lei X, Chen K, Zhu L, Song E, Su F, Li S. Treatments for idiopathic granulomatous mastitis: systematic review and meta-analysis. Breastfeeding Medicine. 2017 Sep 1;12(7):415-21.
Ahmed YS, Abd El Maksoud W. Evaluation of therapeutic mammoplasty techniques in the surgical management of female patients with idiopathic granulomatous mastitis with mild to moderate inflammatory symptoms in terms of recurrence and patients’ satisfaction. Breast Disease. 2016 Jan 1;36(1):37-45.
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