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Granulomatous mastitis in pregnancy.
J Goldberg1, L Baute, L Storey
1Department of Obstetrics and Gynecology, Jefferson Medical College, Philadelphia, Pennsylvania, USA.
Obstetrics and Gynecology
|November 30, 2000
Summary
Granulomatous mastitis in pregnancy is rare but treatable. Early corticosteroid treatment can effectively manage this benign breast condition and prevent unnecessary biopsies.
Area of Science:
- Obstetrics and Gynecology
- Pathology
- Dermatology
Background:
- Granulomatous mastitis is a rare, benign breast condition often misdiagnosed as inflammatory breast cancer.
- While reported in reproductive-age women, it is an unusual presentation during pregnancy.
Observation:
- A 25-year-old pregnant woman presented with a large, tender breast mass at 17 weeks' gestation.
- The mass did not respond to antibiotics or surgical drainage.
Findings:
- Biopsy confirmed granulomatous mastitis.
- Corticosteroid therapy led to improvement of the condition.
- A postpartum recurrence also responded favorably to steroid treatment.
Implications:
- Early clinical and histological diagnosis of granulomatous mastitis is crucial.
- Prompt initiation of corticosteroid treatment may prevent extensive surgical interventions and disfigurement.
- This case highlights the importance of considering granulomatous mastitis in pregnant patients with breast masses.
