Granulomatous mastitis - a diagnostic dilemma.

Area of Science:

• Pathology
• Oncology
• Radiology

Background:

• Granulomatous lobular mastitis (GLM) is a rare, benign breast disease.
• Characterized by chronic, non-caseating granulomatous lobulitis, it can be misdiagnosed as breast cancer.
• GLM often occurs postpartum and may necessitate mastectomy if misdiagnosed.

Purpose of the Study:

• To report a case of GLM treated with local excision and steroid therapy.
• To increase awareness of GLM among surgeons and pathologists.
• To highlight diagnostic criteria for GLM.

Main Methods:

• Histopathological examination revealing granulomatous inflammation centered on lobules.
• Clinical presentation and patient history, noting association with pregnancy.
• Treatment involving local excision and postoperative steroid administration.

Main Results:

• The reported case demonstrated characteristic features of GLM.
• Successful management achieved through surgical excision and steroid therapy.
• Increased awareness among clinicians regarding this rare condition.

Conclusions:

• GLM requires accurate diagnosis to avoid unnecessary mastectomy.
• Multidisciplinary approach involving surgeons and pathologists is crucial.
• Steroid therapy can be effective in managing GLM post-excision.