[Non-puerperal mastitis. Clinical study of 30 patients]

Non puerperal mastitis is an inflammatory disease that resembles carcinoma, the course is insidious and frequently this entity is misdiagnosed. The recurrence has been reported until 60%. This report is a prospective clinical investigation, of 30 patients with diagnosis of periductal mastitis, in these women were analyzed; age, marital stage, deliveries, breast feeding symptoms like tumour, inflammatory signs, mammary ductal fistula, mamography, cytology, bacteriology, histopathology, medical and surgical treatment. The middle age was 36 years old, 70% between 30 and 50 years old, 26 patients were multiparous, breast feeding were mentioned for 20 women. The tumor was palpable 70% of the cases, localized preferentially in the retroareolar segment, inflammatory changes were observed in 25 cases, 19 patients with fistula. The cytology was negative in 13 cases. In the bacterial culture were isolated, Staphylococcus aureus in 7 cases, Proteus vulgaris in 2 cases and seven cases resulted negative. Mamographic exams were realized in 23 patients; one case resulted adenocarcinoma. The medical treatment were with Eritromycin and Metronidazol and then, ducts resection surgery were performed in 16 cases, one case with adenocarcinoma was performed a modified radical mastectomy. The results were satisfactory 22 women improved, 6 cases with recurrence and two cases with spontaneous improvement.