Clinical Study of Conservative Treatment for 120 Patients with Granulomatous Mastitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WUHui-sheng , WUJian-chun , ZHENGChang ,  WANGXian-ming

Department of Breast and Thyroid Surgery, The First Affiliated Hospital of Shenzhen University, Shenzhen 518035, Guangdong Province, China;

Corresponding author：

WANGXian-ming, Email: wxm60@aliyun.com

Keywords：

Granulomatous mastitis; Conservative treatment; Closed treatment

DOI：

10.7507/1007-9424.20160059

Video：

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Objective To investigate etiology of granulomatous mastitis and it,s conservative treatment method. Method The clinical data of 120 patients with granulomatous mastitis given drugs for closed treatment plus massage dredge and ductal lavage from January 2011 to December 2012 in this hospital were analyzed retrospectively. Results One hundred and one cases were cured following conservative treatment for 2 to 8 weeks,19 cases were underwent surgical treatment because of poor outcome.Nine of 101(8.9%) cured patients were relapsed for following-up of 30 to 42 months. Conclusion Closed treatment with drugs,which is effective,could keep patient with granulomatous mastitis from having mastectomy and reduce recurrence.

Citation： WUHui-sheng, WUJian-chun, ZHENGChang, WANGXian-ming. Clinical Study of Conservative Treatment for 120 Patients with Granulomatous Mastitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(2): 225-228. doi: 10.7507/1007-9424.20160059 Copy

1.	王先明, 吴恢升, 陈伟财, 等. 非哺乳期乳腺炎的诊治分析. 医学与哲学, 2013, 34(6):14-15.
2.	Aghajanzadeh M, Hassanzadeh R, Alizadeh Sefat S, et al. Granulo-matous mastitis:Presentations, diagnosis, treatment and outcome in 206 patients from the north of Iran. Breast, 2015, 24(4):456-460.
3.	Sheybani F, Sarvghad MR, Naderi HA. Treatment for and clinical characteristics of granulomatous mastitis. Obstet Gynecol, 2015, 125(4):801-807.
4.	Hovanessian Larsen LJ, Peyvandi B, Klipfel N, et al. Granulomatous lobular mastitis:imaging, diagnosis, and treatment. AJR Am J Roentgenol, 2009, 193(2):574-581.
5.	Baslaim MM, Khayat HA, Al-Amoudi SA. Idiopathic granuloma-tous mastitis:a heterogeneous disease with variable clinical presen-tation. World J Surg, 2007, 31(8):1677-1681.
6.	Altintoprak F, Karakece E, Kivilcim T, et al. Idiopathic granuloma-tous mastitis:an autoimmune disease? Sci World J, 2013, 2013:1-6.
7.	Nakamura T, Yoshioka K, Miyashita T, et al. Granulomatous mastitis complicated by arthralgia and erythema nodosum successfully treated with prednisolone and methotrexate. Intern Med, 2012, 51(20):2957-2960.
8.	Salesi M, Karimifar M, Salimi FA. A case of granulomatous mastitis with erythema nodosum and arthritis. Rheumatol Int, 2011, 31(8):1093-1095.
9.	Erozgen F, Ersoy YE, Akaydin M, et al. Corticosteroid treatment and timing of surgery in idiopathic granulomatous mastitis confu-sing with breast carcinoma. Breast Cancer Res Treat, 2010, 123(2):447-452.
10.	Diesing D, Axt-Fliedner R, Hornung D, et al. Granulomatous mastitis. Arch Gynecol Obstet, 2004, 269(4):233-236.
11.	Binesh F, Kargar S, Zahir ST, et al. Idiopathic granulomatous mastitis, a clinicopathological review of 22 cases. J Clin Exp Pathol, 2014, 4:157.
12.	於恩桥, 赵柳华, 唐祖雄, 等. 特发性肉芽肿性乳腺炎的诊断与治疗. 中国普外基础与临床杂志, 2015, 22(8):985-988.
13.	安慧敏, 郭德超, 潘升华, 等. 肉芽肿性小叶性乳腺炎21例临床病理分析. 中华普通外科杂志, 2014, 29(5):392-393.
14.	Gautier N, Lalonde L, Tran-Thanh D, et al. Chronic granulomatous mastitis:Imaging, pathology and management. Eur J Radiol, 2013, 82(4):e165-e175.
15.	Donn W, Rebbeck P, Wilson C, et al. Idiopathic granulomatous mastitis. A report of three cases and review of the literature. Arch Pathol Lab Med, 1994, 118(8):822-825.
16.	Mizrakli T, Velidedeoglu M, Yemisen M, et al. Corticosteroid treatment in the management of idiopathic granulomatous mastitis to avoid unnecessary surgery. Surg Today, 2015, 45(4):457-465.
17.	王颀. 应重视非哺乳期乳腺炎的诊治和研究. 中华乳腺病杂志:电子版, 2013, 7(3):1-3.
18.	Sakurai K, Fujisaki S, Enomoto K, et al. Evaluation of follow-up strategies for corticosteroid therapy of idiopathic granulomatous mastitis. Surg Today, 2011, 41(3):333-337.
19.	Girgin S, Uslukaya Ö, Yılmaz EE, et al. Granulomatous mastitis:A retrospective review of 49 patients. Dicle Med J, 2015, 42(1):22-27.
20.	Kuba S, Yamaguchi J, Ohtani H, et al. Vacuum-assisted biopsy and steroid therapy for granulomatous lobular mastitis:report of three cases. Surg Today, 2009, 39(8):695-699.
21.	Gurleyik G, Aktekin A, Aker F, et al. Medical and surgical treatment of idiopathic granulomatous lobular mastitis:a benign inflamma-tory disease mimicking invasive carcinoma. J Breast Cancer, 2012, 15(1):119-123.
22.	Joseph KA, Luu X, Mor A. Granulomatous mastitis:a New York public hospital experience. Ann Surg Oncol, 2014, 21(13):4159-4163.
23.	Wilson JP, Massoll N, Marshall J, et al. Idiopathic granulomatous mastitis:in search of a therapeutic paradigm. Am Surg, 2007, 73(8):798-802.
24.	Yau FM, Macadam SA, Kuusk U, et al. The surgical management of granulomatous mastitis. Ann Plast Surg, 2010, 64(1):9-16.

1. 王先明, 吴恢升, 陈伟财, 等. 非哺乳期乳腺炎的诊治分析. 医学与哲学, 2013, 34(6):14-15.
2. Aghajanzadeh M, Hassanzadeh R, Alizadeh Sefat S, et al. Granulo-matous mastitis:Presentations, diagnosis, treatment and outcome in 206 patients from the north of Iran. Breast, 2015, 24(4):456-460.
3. Sheybani F, Sarvghad MR, Naderi HA. Treatment for and clinical characteristics of granulomatous mastitis. Obstet Gynecol, 2015, 125(4):801-807.
4. Hovanessian Larsen LJ, Peyvandi B, Klipfel N, et al. Granulomatous lobular mastitis:imaging, diagnosis, and treatment. AJR Am J Roentgenol, 2009, 193(2):574-581.
5. Baslaim MM, Khayat HA, Al-Amoudi SA. Idiopathic granuloma-tous mastitis:a heterogeneous disease with variable clinical presen-tation. World J Surg, 2007, 31(8):1677-1681.
6. Altintoprak F, Karakece E, Kivilcim T, et al. Idiopathic granuloma-tous mastitis:an autoimmune disease? Sci World J, 2013, 2013:1-6.
7. Nakamura T, Yoshioka K, Miyashita T, et al. Granulomatous mastitis complicated by arthralgia and erythema nodosum successfully treated with prednisolone and methotrexate. Intern Med, 2012, 51(20):2957-2960.
8. Salesi M, Karimifar M, Salimi FA. A case of granulomatous mastitis with erythema nodosum and arthritis. Rheumatol Int, 2011, 31(8):1093-1095.
9. Erozgen F, Ersoy YE, Akaydin M, et al. Corticosteroid treatment and timing of surgery in idiopathic granulomatous mastitis confu-sing with breast carcinoma. Breast Cancer Res Treat, 2010, 123(2):447-452.
10. Diesing D, Axt-Fliedner R, Hornung D, et al. Granulomatous mastitis. Arch Gynecol Obstet, 2004, 269(4):233-236.
11. Binesh F, Kargar S, Zahir ST, et al. Idiopathic granulomatous mastitis, a clinicopathological review of 22 cases. J Clin Exp Pathol, 2014, 4:157.
12. 於恩桥, 赵柳华, 唐祖雄, 等. 特发性肉芽肿性乳腺炎的诊断与治疗. 中国普外基础与临床杂志, 2015, 22(8):985-988.
13. 安慧敏, 郭德超, 潘升华, 等. 肉芽肿性小叶性乳腺炎21例临床病理分析. 中华普通外科杂志, 2014, 29(5):392-393.
14. Gautier N, Lalonde L, Tran-Thanh D, et al. Chronic granulomatous mastitis:Imaging, pathology and management. Eur J Radiol, 2013, 82(4):e165-e175.
15. Donn W, Rebbeck P, Wilson C, et al. Idiopathic granulomatous mastitis. A report of three cases and review of the literature. Arch Pathol Lab Med, 1994, 118(8):822-825.
16. Mizrakli T, Velidedeoglu M, Yemisen M, et al. Corticosteroid treatment in the management of idiopathic granulomatous mastitis to avoid unnecessary surgery. Surg Today, 2015, 45(4):457-465.
17. 王颀. 应重视非哺乳期乳腺炎的诊治和研究. 中华乳腺病杂志:电子版, 2013, 7(3):1-3.
18. Sakurai K, Fujisaki S, Enomoto K, et al. Evaluation of follow-up strategies for corticosteroid therapy of idiopathic granulomatous mastitis. Surg Today, 2011, 41(3):333-337.
19. Girgin S, Uslukaya Ö, Yılmaz EE, et al. Granulomatous mastitis:A retrospective review of 49 patients. Dicle Med J, 2015, 42(1):22-27.
20. Kuba S, Yamaguchi J, Ohtani H, et al. Vacuum-assisted biopsy and steroid therapy for granulomatous lobular mastitis:report of three cases. Surg Today, 2009, 39(8):695-699.
21. Gurleyik G, Aktekin A, Aker F, et al. Medical and surgical treatment of idiopathic granulomatous lobular mastitis:a benign inflamma-tory disease mimicking invasive carcinoma. J Breast Cancer, 2012, 15(1):119-123.
22. Joseph KA, Luu X, Mor A. Granulomatous mastitis:a New York public hospital experience. Ann Surg Oncol, 2014, 21(13):4159-4163.
23. Wilson JP, Massoll N, Marshall J, et al. Idiopathic granulomatous mastitis:in search of a therapeutic paradigm. Am Surg, 2007, 73(8):798-802.
24. Yau FM, Macadam SA, Kuusk U, et al. The surgical management of granulomatous mastitis. Ann Plast Surg, 2010, 64(1):9-16.

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Clinical Study of Conservative Treatment for 120 Patients with Granulomatous Mastitis

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