J Goldberg1, L Baute, L Storey, P Park. 1. Department of Obstetrics and Gynecology, Jefferson Medical College, Philadelphia, Pennsylvania, USA.
Abstract
BACKGROUND: Granulomatous mastitis, a rare, benign breast condition characterized by granulomas and abscess formation, is mistaken frequently for inflammatory breast carcinoma. Although it has been reported in reproductive-age women, it is unusual in pregnancy. CASE: A 25-year-old black gravida 4 para 2 developed a tender, indurated 20 x 15 x 15 cm multilobulated breast mass at 17 weeks' gestation. After not responding to antibiotics and incisional drainage, the biopsy-proved granulomatous mastitis improved with corticosteroid treatment. A postpartum recurrence also responded to steroid therapy. CONCLUSION: Granulomatous mastitis is diagnosed clinically and histologically. Early recognition and initiation of steroid treatment might prevent repetitive, deforming breast biopsies.
BACKGROUND:Granulomatous mastitis, a rare, benign breast condition characterized by granulomas and abscess formation, is mistaken frequently for inflammatory breast carcinoma. Although it has been reported in reproductive-age women, it is unusual in pregnancy. CASE: A 25-year-old black gravida 4 para 2 developed a tender, indurated 20 x 15 x 15 cm multilobulated breast mass at 17 weeks' gestation. After not responding to antibiotics and incisional drainage, the biopsy-proved granulomatous mastitis improved with corticosteroid treatment. A postpartum recurrence also responded to steroid therapy. CONCLUSION:Granulomatous mastitis is diagnosed clinically and histologically. Early recognition and initiation of steroid treatment might prevent repetitive, deforming breast biopsies.
Authors: Omar Farouk; Mohamed Abdelkhalek; Ahmed Abdallah; Ahmed Shata; Ahmed Senbel; Essam Attia; Mohamed Abd Elghaffar; Mahmoud Mesbah; Nermine Soliman; Maha Amin; Dina El-Tantawy Journal: World J Surg Date: 2017-05 Impact factor: 3.352
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