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Author Spotlight: Integrating Eastern and Western Medicine for Treatment of Granulomatous Mastitis
Published on: May 3, 2024
Idiopathic granulomatous mastitis: a rare entity with a variable presentation
C U Poovamma1, V Anthony Pais1, Shilpy Chauhan Dolas1
1Oncoplastic Breast Unit, Mazumdar-Shaw Cancer Center,NH Multispeciality Hospital, Bangalore, Karnataka, India.
Background:
Idiopathic granulomatous mastitis (IGM) is a rare, chronic benign breast disease which may mimic a breast abscess or malignancy. It is a diagnosis of exclusion, and requires a high index of suspicion. Most patients present in the third or fourth decade of life.
Case Series:
We present a case series of IGM with varied presentation, as a non-resolving abscess and as a lump, clinically appearing to be malignant. Patients required repeated drainage and/or lumpectomy.
Conclusion:
Although IGM is considered to be autoimmune in aetiology, however other infectious aetiologies causing granulomatous mastitis and malignancy have to be ruled out by histopathology. In the event of relapse immunosuppression may be required.
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