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Recurrent Idiopathic Granulomatous Mastitis: A Case Report.
Janardan Prasad Joshi1, Lila Joshi2, Hira Joshi3
1Department of General Surgery, Mahakali Provincial Hospital, Mahendranagar, Kanchanpur, Nepal.
JNMA; Journal of the Nepal Medical Association
|February 27, 2024
Summary
Idiopathic granulomatous mastitis, a rare breast condition, often mimics breast abscesses but requires specific management. This case highlights the need for histopathology and surgical excision with antibiotics for effective treatment.
Area of Science:
- Oncology
- Pathology
Background:
- Idiopathic granulomatous mastitis (IGM) is a rare, benign breast disease with unknown etiology.
- It often presents as a breast abscess, complicating diagnosis and treatment.
Observation:
- A 31-year-old female presented with right breast pain and redness, initially treated as a breast abscess without improvement.
- Despite repeated incision and drainage, antibiotics, and a trial of steroids, her condition persisted.
Findings:
- Histopathology revealed granuloma with giant cell reaction, confirming IGM.
- Wide local excision combined with a prolonged course of broad-spectrum antibiotics led to remission.
Implications:
- This case underscores the importance of considering IGM in non-responding breast abscesses.
- Accurate histopathological diagnosis is crucial for appropriate management.
- Surgical intervention and extended antibiotic therapy may be necessary for IGM treatment.
