The purpose of this study was to determine the efficacy of surgery combined with traditional Chinese medicine for the treatment of IGM. In the diagnosis and treatment of (GM) there are multiple controversy. Brief Synopsis: I was diagnosed with a somewhat rare condition called idiopathic granulomatous mastitis in August 2018. Granulomatous Mastitis: Part Three. GLM, granulomatous lobular mastitis. From: Hughes, Mansel & Webster's Benign Disorders and Diseases of … Response to: Zhang C, Lei S, Kong C, et al. Its treatment methods can be classified as antibiotic therapy, antituberculosis therapy, glucocorticoid therapy, immunosuppressant therapy, and incision and drainage. To describe a minimally invasive comprehensive treatment for granulomatous lobular mastitis (GLM) and compare its effect with the existing methods, particularly in terms of its recurrence rate and esthetic outcomes. This retrospective study reviewed the clinical features and treatment outcome of 30 patients who were diagnosed pathologically as GLM from 2016.3 to 2019.5 in the Department of Breast Surgery, … We aimed to investigate the role of surgical excision in treating granulomatous lobular mastitis. Idiopathic Granulomatous Mastitis (IGM) is an uncommon breast disease often mistaken for breast infection, abscess or Carcinoma. OBJECTIVE. Idiopathic granulomatous mastitis (IGM) is an inflammatory disease of the breasts with an unknown etiology. Idiopathic granulomatous mastitis is a rare benign inflammatory breast disease that affects women of childbearing age with a history of breastfeeding. If pus is present in the IGM (Idiopathic Granulomatous Mastitis) is a rare, chronic, non-malignant and non-life-threatening breast disease [ 1 ]. The main treatment should be guided according to the clinical presentation either surgical or medical or both. : Granulomatous mastitis (GM) is a rare chronic inflammatory disease that has clinical and radiologic findings similar to those of breast cancer. Submitted May 12, 2020. Though surgery is often necessary to remove residual disease, it is increasingly utilized after completion of … Corticosteroid therapy is effective in decreasing the granulomatous mass in this disease [4, 10, 11]. Conclusions: Granulomatous mastitis often presents as a breast lump with or without skin changes. The patient is also given steroids to combat the inflammation. There is often ulceration, abscess and sinus formation. Annals of Breast Surgery All rgts resere Ann rest urg 2020424 ttoorg1021037as2089 Introduction Idiopathic granulomatous mastitis (IGM) is a benign inflammatory breast condition first described in the literature in 1972 (1). Granulomatous mastitis (GM) is a rare chronic inflammatory breast condition that was first described in 1972. A 35-year-old woman presented to the surgery outpatient department with a lump in her right breast for 2 months and pain for 1 month. Abstract: Idiopathic granulomatous mastitis is a rare inflammatory breast disease that mimics breast diseases such as inflammatory breast carcinoma, infective mastitis, and inflammatory breast disease of known cause. Background. Its treatment methods can be classified as antibiotic therapy, antituberculosis therapy, glucocorticoid therapy, immunosuppressant therapy, and incision and drainage. Idiopathic granulomatous mastitis (IGM) is an uncommon chronic inflammatory lesion of the breast with an uncertain optimal treatment regimen, the physical examination, and radiologic features of which may be confused with breast carcinoma. Regardless of the treatments, IGM takes months to resolve. Granulomatous mastitis shows a close resemblance to peripheral perilobular mastitis, and at least some cases are best managed by surgery directed to proximal ectatic ducts. Granulomatous lobular mastitis (GLM) was first discovered by Kessler et al in 1972. GM is firstly identified in 1972, and it is considered as an important disease because it is a great mimicker of breast carcinoma. Options for management are conservative/supportive care, oral prednisone or methotrexate, or surgical excision. High dose steroid is the initial treatment of choice for granulomatous mastitis. Gland Surg 2019;8:712-22. Yasser S. Ahmed, Walid Abd El Maksoud, 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, 10.3233/BD-150198, 36, 1, (37-45), (2016). 2—32-year-old woman with granulomatous mastitis. Treatment is radically different for idiopathic granulomatous mastitis and other granulomatous lesions of the breast, so the precise diagnosis is therefore very important. Patients mostly present with a hard lump in one breast without any sign of a systemic disease. The related clinical and radiological features often mimic those of mammary carcinoma. Breast Cancer Res Treat 2010; 123: 447-452. Granulomatous Mastitis can present with a lump in the breast. The lump was excised under local anaesthesia and biopsy was sent. Surgery to excise the affected area is reserved for severe cases that do not respond to medications, as this may result in a larger cosmetic deformity or an area that remains open on the breast for several weeks. 2 Because the etiology of GM is not clear, and the diagnosis is made by exclusion, GM can be a heterogeneous disease with variable … The aim of our study was to evaluate the outcome of surgical excision or in combination with steroid in treating IGM. Furthermore, a preferred form of treatment has not been defined yet. Idiopathic granulomatous mastitis (IGM) is a rare, benign, inflammatory disorder of the breast that can imitate a broad range of conditions, from abscess to carcinoma ., IGM is most likely to affect women in the third decade of life, often in the presence of associated history of pregnancy, lactation, and oral contraceptive use. Prompt diagnosis and initiation of treatment is crucial to the clinical response and long-term resolution of IGM. Even after GM is diagnosed, the best management strategy remains controversial. Many cases of IGM require immunosuppression with steroids, methotrexate or extensive surgery. Objectives: Idiopathic granulomatous mastitis (IGM) is a benign breast disease with no ideal treatment regimen so far. As a result, the diagnosis must be confirmed histologically before starting the treatment [ 22, 23 ]. Idiopathic Granulomatous Mastitis (IGM) is a benign chronic inflammatory breast condition, first described in 1972 by Kessler and Wooloch, that mimics two common breast disorders: breast carcinoma and breast abscess [].It can form breast masses, fistulae, and fluid collections, resulting in breast disfigurement with retraction and nipple areolar complex (NAC) and inversion. GM presents as a heterogeneous illness with variable clinical presentations, and its diagnosis is usually made by exclusion. High dose steroid is the initial treatment of choice for granulomatous mastitis. During the study period, a total of 34 patients … We analyzed clinical features and therapeutic modalities and compared the patient outcomes based on treatment. Idiopathic granulomatous mastitis (IGM) is an inflammatory and chronic benign disease of the breast. Idiopathic granulomatous mastitis is a rare benign inflammatory breast disease that affects women of childbearing age with a history of breastfeeding. If symptoms are persistent, regular steroid therapy and surgery to remove the lump may be recommended. Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory disease of the breast of unclear etiology .Since the first report of the disease in 1972 by Kessler and Wolloch, IGM has posed great diagnostic and therapeutic dilemmas .An incidence of 2.4 cases per 100,000 women aged 20-40 years has been reported in the US, with increased frequency among Hispanic women . We performed a retrospective chart review of patients with granulomatous lobular mastitis treated from March 2008 to March 2014. Patients were evaluated clinically and radiologically. In this study, we aimed to describe the clinicopathologic ch … It usually presents as an enlarging breast mass that can greatly mimic breast cancer. Konan A, Kalyoncu U, Dogan I, et al. It is a diagnosis made only after excluding other causes, and although the disease is nonmalignant it may be both locally aggressive and recurrent. Granulomatous Mastitis. There is no consensus regarding the treatment of IGM. Idiopathic granulomatous mastitis (IGM) is an uncommon breast disease often mistaken for breast infection or abscess. Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory disease of the breast of unclear etiology .Since the first report of the disease in 1972 by Kessler and Wolloch, IGM has posed great diagnostic and therapeutic dilemmas .An incidence of 2.4 cases per 100,000 women aged 20-40 years has been reported in the US, with increased frequency among Hispanic women . During neoadjuvant chemotherapy, she presented with an enlargement of … Background: Idiopathic Granulomatous Mastitis (IGM) is a rare chronic inflammatory disease. idiopathic granulomatous mastitis. We aimed to investigate the role of surgical excision in treating granulomatous lobular mastitis. 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