만성 육아종성 유방염

Back ground : Granulomatous mastitis is a rare benign inflammatory breast disease of an unknown etiology. Clinically and radiologically, it can mimic a breast carcinoma. Therefore, surgeons, pathologists and radiologists need to be aware of this condition in order to avoid unnecessary mastectomies. This study examined the modalities that are important for diagnosing and treating of the granulomatous mastitis. Methods: The data regarding 5 patients with histologically confirmed granulomatous mastitis and treated at our hospital were analyzed. Age, mammography, ultrasound, treatment, medication were retrospectively evaluated. Results: Among the 5 patients, the mean age was 42years. Palpable mass was the most common presentation. No patient suffered from pulmonary tuberculosis. Preoperative mammography and ultrasonography was not helpful in identifying granulomatous mastitis. Three cases completely recovered after an excision. One case recovered after partial mastectomy and the last one case recovered after right modified radical mastectomy. The average period in treatment was 12 months and there was no recurrence within 36months for the follow up period. Conclusion ： Granulomatous mastitis is rare, but it is important to make a histological diagnosis at the early stages. It is believed that a complete excision of the lesion will make prevent a recurrence. KCI Citation Count: 0