Experience of treatment of patients with granulomatous lobular mastitis.
- Author:
Sung Mo HUR
1
;
Dong Hui CHO
;
Se Kyung LEE
;
Min Young CHOI
;
Soo Youn BAE
;
Min Young KOO
;
Sangmin KIM
;
Jun Ho CHOE
;
Jung Han KIM
;
Jee Soo KIM
;
Seok Jin NAM
;
Jung Hyun YANG
;
Jeong Eon LEE
Author Information
- Publication Type:Original Article
- Keywords: Breast; Granulomatous mastitis; Treatment; Excision
- MeSH: Abscess; Anti-Bacterial Agents; Breast; Drainage; Female; Granulomatous Mastitis; Humans; Mastitis; Recurrence; Steroids
- From:Journal of the Korean Surgical Society 2013;85(1):1-6
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: To present the author's experience with various treatment methods of granulomatous lobular mastitis (GLM) and to determine effective treatment methods of GLM. METHODS: Fifty patients who were diagnosed with GLM were classified into five groups based on the initial treatment methods they underwent, which included observation (n = 8), antibiotics (n = 3), steroid (n = 13), drainage (n = 14), and surgical excision (n = 12). The treatment processes in each group were examined and their clinical characteristics, treatment processes, and results were analyzed respectively. RESULTS: Success rates with each initial treatment were observation, 87.5%; antibiotics, 33.3%; steroids, 30.8%; drainage, 28.6%; and surgical excision, 91.7%. In most cases of observation, the lesions were small and the symptoms were mild. A total of 23 patients underwent surgical excision during treatment. Surgical excision showed particularly fast recovery, high success rate (90.3%) and low recurrence rate (8.7%). CONCLUSION: The clinical course of GLM is complex and the outcome of each treatment type are variable. Surgery may play an important role when a lesion is determined to be mass-forming or appears localized as an abscess pocket during breast examination or imaging study.
