Revista chilena de cirugía
versión On-line ISSN 0718-4026
PEREZ P, JUAN ANTONIO et al. Idiopathic granulomatous mastitis: Report of 14 cases. Rev Chil Cir [online]. 2007, vol.59, n.4, pp. 259-263. ISSN 0718-4026. doi: 10.4067/S0718-40262007000400003.
Background: Idiopathic granulomatous mastitis is a benign and uncommon inflammatory disease of the breast, of unknown etiology. It can resemble a carcinoma, therefore the diagnosis is pathological. Aim: To perform a clinical characterization of idiopathic granulomatous mastitis. Material and methods: Retrospective review of medical records of 14 female patients aged 21 to 47 years with idiopathic granulomatous mastitis, treated in a regional hospital between 1995 and 2006. Results: The most common clinical presentation was a breast abscess in nine patients. A mammography was done in seven patients an breast ultrasound in 10. Samples for pathological studies were obtained percutaneously in eight and surgically in six. Twelve patients were treated with prednisone, with good results in all. In a mean follow up of 28 months, two patients had a relapse. Conclusions: Steroid treatment was effective for the treatment of granulomatous mastitis. The two relapses observed in this series were mild
Palabras clave : Granulomatous mastitis; diagnosis; treatment; prednisone.