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Idiopathic granulomatous mastitis after ductoscopy: A case report
S Makineli1, P J van Diest2, M A Fernandez3
1Department of Surgical Oncology, University Medical Center, Utrecht, the Netherlands.
International Journal of Surgery Case Reports
|November 6, 2021
Summary
Idiopathic granulomatous mastitis (IGM), a rare breast condition, can develop after ductoscopy, a diagnostic procedure. This case highlights a potential link between ductoscopy and IGM, suggesting trauma or aggravation of an underlying condition.
Area of Science:
- Breast pathology
- Inflammatory diseases
- Surgical complications
Background:
- Idiopathic granulomatous mastitis (IGM) is a rare, benign, chronic inflammatory breast condition.
- Its etiology, duration, and optimal treatment remain unclear.
Purpose of the Study:
- To report a unique case of IGM developing after ductoscopy.
- To explore the potential relationship between ductoscopy and IGM onset or exacerbation.
Main Methods:
- A case study of a 41-year-old woman presenting with pathological nipple discharge.
- Ductoscopy was performed, followed by the development of breast abscesses.
- Histopathological examination confirmed granulomatous mastitis (GM).
Main Results:
- The patient developed breast abscesses and was diagnosed with GM post-ductoscopy.
- This represents the first reported instance of IGM occurring subsequent to ductoscopy.
Conclusions:
- Ductoscopy may potentially induce or aggravate IGM, possibly due to trauma.
- Further investigation is warranted to understand the association between ductoscopy and IGM.
