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:: Volume 13, Issue 2 (Iranian Journal of Breast Disease 2020) ::
ijbd 2020, 13(2): 69-73 Back to browse issues page
Idiopathic Granulomatosis Mastitis, Time to a Paradigm Change in Treatment
Ahmad Kaviani , Mahtab Vasigh , Sanaz Zand
Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran & Breast Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran , akaviani@archbreastcancer.com
Abstract:   (582 Views)
Idiopathic granulomatous mastitis (IGM) is among the chronic diseases of the breast, which is more common in Middle Eastern countries than in Western countries. Since the etiology of the disease is not well known, there is no international consensus on the management of the disease. Antibiotic, Non-Steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, cytotoxic and immunosuppressive medications, surgery, and conservative management are among the therapeutic options. Considering the fact that management of IGM needs long-term treatment and in the long-term, most of the medications may show the side effect, treatment with corticosteroids and other immunomodulators or cytotoxic drugs should be recommended cautiously in a patient whose disease is confined to the breast.
According to the evidence and long-term experience, the authors recommend applying conservative management along with the training of the patient on how to drain the collections by physical maneuvers. Obviously, if granulomatous mastitis would be a part of the clinical syndrome of a systemic disease, appropriate treatment should be done according to the underlying disease.
Keywords: Idiopathic Granulomatosis Mastitis, Corticosteroid, Conservative Management
Full-Text [PDF 112 kb]   (344 Downloads)    
Type of Study: Letter to Editor | Subject: Breast
Received: 2020/06/24 | Accepted: 2020/07/4 | Published: 2020/08/19
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Kaviani A, Vasigh M, Zand S. Idiopathic Granulomatosis Mastitis, Time to a Paradigm Change in Treatment. ijbd. 2020; 13 (2) :69-73
URL: http://ijbd.ir/article-1-824-en.html

Volume 13, Issue 2 (Iranian Journal of Breast Disease 2020) Back to browse issues page
فصلنامه علمی- پژوهشی بیماری های پستان ایران Iranian Quarterly Journal of Breast Disease

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