Taking a Look Granulomatous Mastitis - 2894 Words

OBJECTIVE.: Granulomatous mastitis (GM) is a rare chronic inflammatory disease that has clinical and radiologic findings similar to those of breast cancer. In the diagnosis and treatment of (GM) there are multiple controversy. The aim of this study was to review the clinical presentation ,Diagnosis ,Treatment and outcome of patients with (GM)Granulomatous mastitis . Materials and Methods: A retrospective study included 206 women from January 2006 and April 2013who met the required histological criteria of (GM). Clinical data of the presentation, diagnosis , ,histopathology, management and outcome were analyzed by review of medical records. Results: Mean age of women ws32years; (range, 22-40 years). The most common presenting symptoms were a breast mass in 183(89%) patients,axillary adenopathy was noted in28(13.5%) ,others were Pain, erythema and abscess in 24 ( 12%) of women. Right side in128( 62%) , left side 78(38%)and bilaterally in 4% )pATIENTS. PREGNANCS in two (0 97%)women. . Thirty eight (18%) of patients undergone incision and drainage with diagnosis of breast infection or abceses and taking antibiotics before diagnosis of (GM). Ultrasound examination before and after drainage in this patients showed, A large irregular hypoechoic mass in 118 (57%), A lobulated or irregular mass was seen in women68 (33%). adenopathy in 28(13.5%) woman and Skin thinking in 20(10%).Mammographic findings shows irregular mass in120 (58%) patients , asymmetric density in 62 (30%)