Idiopathic granulomatous mastitis: apropos of 8 cases and review of the literature
Belaabidia, B.; Essadki, O.; el Mansouri, A.; Squalli, S.
Gynecologie Obstetrique and Fertilite 30(5): 383-389
2002
ISSN/ISBN: 1297-9589 PMID: 12087933 Document Number: 540608
The authors report eight cases of idiopathic granulomatous mastitis in which the epidemiological, clinical, diagnostic, therapeutic and prognostic features are discussed. Retrospective study of eight cases registered among 2,000 breast anatomopathological study during 5-years period. The mead age was 44.3 years. Breast lump measuring 2.5 to 15 cm in size was noted at clinical examination. Mammography noted nodular opacities and ultrasonography showed hypoechoic nodules. Histological findings were consistent on granulomatous inflammation centred on mammary lobules. The inflammatory infiltrate was including leukocytes, lymphocytes, plasma cells as well as epithelioid and giant cells without caseous necrosis in the granuloma. Idiopathic granulomatous mastitis is a rare entity. This entity can clinically mimic other breast mastitis disease. Diagnosis is assessed by histological analysis This disease can be treated with drugs and surgical excision of the lump. The prognostic of this chronic disease is favourable.