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2014, Number 3

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Rev Hosp Jua Mex 2014; 81 (3)

Mastitis granulomatosa idiopática

Vargas-Hernández VM

Language: Spanish
References: 29
Page: 174-181
PDF size: 329.45 Kb.


ABSTRACT

Idiopathic granulomatous mastitis, benign chronic disease with diagnostic and therapeutic difficulties, because of its similarity to breast cancer; occurs at an average age of 32 to 36 years; during handling and monitoring, some worse or the disease progresses; microbiological cultures for bacteria, fungi, parasites, and tuberculosis; are generally negative and imaging studies were discarded common conditions and are useful for diagnosis; clinical manifestations are the presence of breast mass with signs of inflammation and abscess formation, which occasionally resolves spontaneously undiagnosed; is a diagnostic challenge and requires high degree of suspicion; Only, biopsy histopathological study makes a definitive diagnosis. There is no consensus on treatment, but the handling is according to the severity and patient preferences; where surgery plays an important role mainly diagnosed if there is doubt and complete surgical excision is recommended whenever possible, plus corticosteroids; the side effects are significant and prolonged recovery; however, regardless of the 50% develop appropriate management, persistence, recurrence and complications with abscesses, fistulas and chronic drainage, prolonged follow-up is necessary.


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