Management of Idiopathic Granulomatous Mastitis Diagnosed by Core Biopsy: A Retrospective Multicenter Study

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dc.authorid0000-0002-6396-3168
dc.authorwosidGurdal, Sibel Ozkan/ABA-3882-2020
dc.authorwosidŞen, Ebru/ABB-6373-2021
dc.contributor.authorŞen Oran, Ebru
dc.contributor.authorGürdal, Sibel Özkan
dc.contributor.authorYankol, Yücel
dc.contributor.authorÖznur, Meltem
dc.contributor.authorCalay, Zerrin
dc.contributor.authorTunacı, Mehtap
dc.contributor.authorSoybir, Gürsel Remzi
dc.date.accessioned2022-05-11T14:12:30Z
dc.date.available2022-05-11T14:12:30Z
dc.date.issued2013
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Tıbbi Patoloji Ana Bilim Dalı
dc.description.abstractIdiopathic granulomatous mastitis (IGM) is a rare, benign, chronic inflammatory condition of the breast, which usually mimics breast carcinoma. The aim of this study was to analyze the clinical features of IGM by identifying a more reliable diagnostic protocol, and evaluating the treatment methods and patient outcomes on follow-up. We performed a retrospective analysis of 46 patients diagnosed with IGM and managed by the same surgical team between 1999 and 2011, at three high-volume hospitals. The median age of the patients was 33years. The most common symptom was painful breast mass (n=39), followed by abscess (n=11). All patients underwent ultrasonography (USG). Mammography (MG) and magnetic resonance imaging (MRI) were also performed in 20 patients (43%) and 17 patients (37%), respectively. The mean size of the lesions was 32.8 +/- 8.8mm and ranged from 15 to 50mm. Preoperative diagnosis of IGM was established by core needle biopsy (CNB) under USG guidance. Eighteen patients (39%) underwent complete excision of the lesion and 25 (54%) were treated with steroids. Three patients treated with steroids subsequently underwent local excision. The mean follow-up period was 35.4 +/- 30.9months. Eight patients (17%) developed disease recurrence; three of these were successfully treated with steroids, one with surgery, and four with both steroids and surgery. CNB in conjunction with high diagnostic accuracy has a significant role in distinctive diagnosis of IGM and hence, is useful for treatment planning. Treatment can be designated according to the extent and the severity of the disease, and the patient's general health and treatment preferences. Patients with IGM must be closely followed up due to the frequency of disease recurrence.
dc.identifier.doi10.1111/tbj.12123
dc.identifier.endpage418
dc.identifier.issn1075-122X
dc.identifier.issn1524-4741
dc.identifier.issue4en_US
dc.identifier.pmid23663101
dc.identifier.startpage411
dc.identifier.urihttps://doi.org/10.1111/tbj.12123
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5578
dc.identifier.volume19
dc.identifier.wosWOS:000328950400009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorGürdal, Sibel Özkan
dc.institutionauthorÖznur, Meltem
dc.institutionauthorSoybir, Gürsel Remzi
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofBreast Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectcore biopsy
dc.subjectcorticosteroid
dc.subjectIdiopathic granulomatous mastitis
dc.subjectsurgery
dc.subjecttreatment
dc.subjectSurgical-Management
dc.subjectLobular Mastitis
dc.subjectTherapy
dc.titleManagement of Idiopathic Granulomatous Mastitis Diagnosed by Core Biopsy: A Retrospective Multicenter Study
dc.typeArticle

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