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New Indian Journal of Surgery

Volume  12, Issue 2, April-June 2021, Pages 55-58
 

Case Report

A Fascinating Experience with A Rare Case of Granulomatous Mastitis

K G Ravi Shankar1, Sumalatha N2, Ravikumar V3, Prashanth4, Iram T Pasha5

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.12221.9

Abstract

We Report a case of Idiopathic granulomatous mastitis in a 30 year old pregnant woman who came to our hospital with complaints of painful lump in her right breast because the results of initial aspiration cytology was mammary abscess with focal mastitis, incision and drainage was performed when MRI breast showed intermediate concern for  malignancy – Excision biopsy was done. However the final histopathological diagnosis was granulomatous mastitis with no evidence of malignancy. A review of literature revealed that idiopathic granulomatous mastitis has a tendency to affect young woman with a history of child birth on oral  contraceptive usage. Clinical diagnosis and imaging has often been difficult. Complete resection or corticosteroid therapy can be recommended as appropriate treatment. Since recurrence rate is as high as 50%, long term follow up is indicated in such patients.


Keywords : Idiopathic granulomatous mastitis; coticosteroid therapy; pregnancy
Corresponding Author : Sumalatha N, Junior resident, Department of General Surgery, MVJ Medical College and Research Hospital, Bangalore 560067, Karnataka, India.