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Ginecología y obstetricia de México
Print version ISSN 0300-9041
Abstract
GOMEZPEDROSO-REA, Javier; ITURRALDE-ROSAS-PRIEGO, Paola and FLORES-ALATRISTE, José Daniel. Idiopathic granulomatous mastitis: clinical characteristics and treatment of a series of cases. Ginecol. obstet. Méx. [online]. 2019, vol.87, n.6, pp.385-391. Epub June 30, 2021. ISSN 0300-9041. https://doi.org/10.24245/gom.v87i6.3073.
OBJECTIVE:
To describe the clinical characteristics of the patients studied with Mastitis idiopathic granulomatous (MGI), also to provide therapeutic tools for these kind of patients.
MATERIAL AND METHODS:
Retrospective cross-sectional study of 21 patients with MGI who underwent excision, justified and guided by a previous radiological study, with a complete file and a histopathology report that confirmed the pathological entity.
Results:
We included 21 patients with an average age of 42 years (SD +/- 12.5 years) 7/21 were in the menopause stage. The clinical presentation was: 3 asymptomatic, 2 with sporulation, 14 with mammary tumor and 2 with mastalgia. The radiological report of BIRADS was: 3 = III, 8 = IVa, 8 = IVb and 2 = IVc. Surgical resection was performed at 19/21 and at 14/19, prednisone was administered preoperatively.
CONCLUSIONS:
The combined use of medical and surgical treatment improves the functional and cosmetic prognosis in the patient, as well as decreases the risk of inadvertent coincidence of a breast carcinoma.
Keywords : Mastitis idiopathic granulomatous; chronic granulomatous mastitis; Granulomatous lobular mastitis; surgical resection.
