Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis

Background Immunosuppressive agents are the main treatment options for idiopathic granulomatous mastitis (IGM). However, in some patients, the remaining large pouch and seroma may cause recurrence and severe deformity. Oncoplastic breast surgery (OBS) techniques can be used when surgery is required....

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Main Authors: Ahmet Dağ, Akay Edizsoy, Mustafa Berkeşoğlu
Format: Article
Language:English
Published: Taylor & Francis Group 2022-02-01
Series:Journal of Investigative Surgery
Subjects:
Online Access:http://dx.doi.org/10.1080/08941939.2021.1922552
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author Ahmet Dağ
Akay Edizsoy
Mustafa Berkeşoğlu
author_facet Ahmet Dağ
Akay Edizsoy
Mustafa Berkeşoğlu
author_sort Ahmet Dağ
collection DOAJ
description Background Immunosuppressive agents are the main treatment options for idiopathic granulomatous mastitis (IGM). However, in some patients, the remaining large pouch and seroma may cause recurrence and severe deformity. Oncoplastic breast surgery (OBS) techniques can be used when surgery is required. Material and methods In this study, surgical results of the patients histopathologically diagnosed with IGM who underwent any of the OBS techniques between 2016 and 2020 were evaluated. Patient characteristics, surgical indications, and technical details of the surgery were recorded. Results Eighteen patients who underwent wide excision combined with the OBS technique were included in the study. Surgery was performed owning to persistent disease (n = 12), recurrence (n = 3), and patient preference (n = 3). No major complications occurred after the OBS technique. None of the patients had recurrence at the surgical site. Conclusions When surgery is indicated in patients with IGM, successful results can be obtained with acceptable complication rates by using the simplest and easiest applicable OBS techniques, including volume displacement technique.
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spelling doaj.art-a1e450d3ce1d438497dbb05bf8a7ab002023-09-15T10:21:28ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532022-02-0135365365810.1080/08941939.2021.19225521922552Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous MastitisAhmet Dağ0Akay Edizsoy1Mustafa Berkeşoğlu2Faculty of Medicine, Clinic of General Surgery, Mersin UniversityClinic of Surgical Oncology, Isparta City HospitalFaculty of Medicine, Clinic of General Surgery, Mersin UniversityBackground Immunosuppressive agents are the main treatment options for idiopathic granulomatous mastitis (IGM). However, in some patients, the remaining large pouch and seroma may cause recurrence and severe deformity. Oncoplastic breast surgery (OBS) techniques can be used when surgery is required. Material and methods In this study, surgical results of the patients histopathologically diagnosed with IGM who underwent any of the OBS techniques between 2016 and 2020 were evaluated. Patient characteristics, surgical indications, and technical details of the surgery were recorded. Results Eighteen patients who underwent wide excision combined with the OBS technique were included in the study. Surgery was performed owning to persistent disease (n = 12), recurrence (n = 3), and patient preference (n = 3). No major complications occurred after the OBS technique. None of the patients had recurrence at the surgical site. Conclusions When surgery is indicated in patients with IGM, successful results can be obtained with acceptable complication rates by using the simplest and easiest applicable OBS techniques, including volume displacement technique.http://dx.doi.org/10.1080/08941939.2021.1922552granulamatousmastitisintraglandulerflapbreast
spellingShingle Ahmet Dağ
Akay Edizsoy
Mustafa Berkeşoğlu
Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis
Journal of Investigative Surgery
granulamatous
mastitis
intraglanduler
flap
breast
title Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis
title_full Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis
title_fullStr Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis
title_full_unstemmed Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis
title_short Oncoplastic Breast Surgery Techniques When Surgery is Essential for the Management of the Idiopatic Granulomatous Mastitis
title_sort oncoplastic breast surgery techniques when surgery is essential for the management of the idiopatic granulomatous mastitis
topic granulamatous
mastitis
intraglanduler
flap
breast
url http://dx.doi.org/10.1080/08941939.2021.1922552
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AT mustafaberkesoglu oncoplasticbreastsurgerytechniqueswhensurgeryisessentialforthemanagementoftheidiopaticgranulomatousmastitis