IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORT

Idiopathic granulomatous mastitis (IGM) is a rare benign disease of the breast with an unknown etiology, which mimicks the carcinoma of the breast. Its shows an increased incidence among women of the breeding ages usually developing in a single breast as an isolated lesion, clinically revealing derm...

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Main Authors: Fatih Altıntoprak, Halil Fırat Baytekin, Adile Ece Altınay, Tunç Eren
Format: Article
Language:English
Published: Galenos Publishing House 2009-01-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/dopathc-granulomatous-mastts-mmcng-breast-cancer--/42573
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author Fatih Altıntoprak
Halil Fırat Baytekin
Adile Ece Altınay
Tunç Eren
author_facet Fatih Altıntoprak
Halil Fırat Baytekin
Adile Ece Altınay
Tunç Eren
author_sort Fatih Altıntoprak
collection DOAJ
description Idiopathic granulomatous mastitis (IGM) is a rare benign disease of the breast with an unknown etiology, which mimicks the carcinoma of the breast. Its shows an increased incidence among women of the breeding ages usually developing in a single breast as an isolated lesion, clinically revealing dermal fi ndings similar to the infl ammatory carcinoma of the breast. Radiologically, the diff erential diagnosis between IGM and cancer remains to be a challenge for the physicians. Histopathologic examinations reveal intense infl ammation accompanied by non-caseifi ed granulomas constituting the characteristic features of this disease. The presence of other etiologies associated with histopathologic fi ndings of granulomatous reactions must be excluded to achieve the diagnosis of IGM. A thirty fi ve years old female patient admitted to our clinic with complaints of an erythematous tender mass, which she had realized to be present in her right breast for the last fi fteen days. Despite the two-week-convenient medical therapy, the clinical fi ndings revealed no improvement. Since the diagnostic procedures could not exclude malignancy, surgery was performed. Following resection, the specimen was evaluated histopathologically revealing the diagnosis of granulomatous mastitis. No evidences of recurrence were met in the postoperative sixth month. This case is presented to emphasize that the possibility of IGM should be kept in mind as an entity for diff erential diagnosis during the clinical evalutions of women of the breeding ages admitting with complaints of isolated breast masses that bring up the suspicion of breast cancer either clinically, or radiologically.
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spelling doaj.art-12e56071ad774e4d8b62bcfdaac29a422023-02-15T16:19:21ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312009-01-0151404313049054IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORTFatih Altıntoprak0Halil Fırat Baytekin1Adile Ece Altınay2Tunç Eren3 Sakarya Eğitim ve Araştırma Hastanesi, Genel Cerrahi, Sakarya, Türkiye Sakarya Eğitim ve Araştırma Hastanesi, Patoloji, Sakarya, Türkiye Sakarya Eğitim ve Araştırma Hastanesi, Anestezi, Sakarya, Türkiye Dr. Siyami Ersek Göğüs, Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Genel Cerrahi, İstanbul, Türkiye Idiopathic granulomatous mastitis (IGM) is a rare benign disease of the breast with an unknown etiology, which mimicks the carcinoma of the breast. Its shows an increased incidence among women of the breeding ages usually developing in a single breast as an isolated lesion, clinically revealing dermal fi ndings similar to the infl ammatory carcinoma of the breast. Radiologically, the diff erential diagnosis between IGM and cancer remains to be a challenge for the physicians. Histopathologic examinations reveal intense infl ammation accompanied by non-caseifi ed granulomas constituting the characteristic features of this disease. The presence of other etiologies associated with histopathologic fi ndings of granulomatous reactions must be excluded to achieve the diagnosis of IGM. A thirty fi ve years old female patient admitted to our clinic with complaints of an erythematous tender mass, which she had realized to be present in her right breast for the last fi fteen days. Despite the two-week-convenient medical therapy, the clinical fi ndings revealed no improvement. Since the diagnostic procedures could not exclude malignancy, surgery was performed. Following resection, the specimen was evaluated histopathologically revealing the diagnosis of granulomatous mastitis. No evidences of recurrence were met in the postoperative sixth month. This case is presented to emphasize that the possibility of IGM should be kept in mind as an entity for diff erential diagnosis during the clinical evalutions of women of the breeding ages admitting with complaints of isolated breast masses that bring up the suspicion of breast cancer either clinically, or radiologically. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/dopathc-granulomatous-mastts-mmcng-breast-cancer--/42573 breastmastitiscancergranulomatous mastitis
spellingShingle Fatih Altıntoprak
Halil Fırat Baytekin
Adile Ece Altınay
Tunç Eren
IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORT
European Journal of Breast Health
breast
mastitis
cancer
granulomatous mastitis
title IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORT
title_full IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORT
title_fullStr IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORT
title_full_unstemmed IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORT
title_short IDIOPATHIC GRANULOMATOUS MASTITIS MIMICING BREAST CANCER - A CASE REPORT
title_sort idiopathic granulomatous mastitis mimicing breast cancer a case report
topic breast
mastitis
cancer
granulomatous mastitis
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/dopathc-granulomatous-mastts-mmcng-breast-cancer--/42573
work_keys_str_mv AT fatihaltıntoprak idiopathicgranulomatousmastitismimicingbreastcanceracasereport
AT halilfıratbaytekin idiopathicgranulomatousmastitismimicingbreastcanceracasereport
AT adileecealtınay idiopathicgranulomatousmastitismimicingbreastcanceracasereport
AT tunceren idiopathicgranulomatousmastitismimicingbreastcanceracasereport