Prednisone Management of Granulomatous Mastitis

GRANULOMATOUS mastitis, a lesion that clinically mimics carcinoma, was definitively described in 1972 1 and is characterized by breast masses that histologically consist of noncaseating granulomas and microabscesses. It is a rare lesion, with only 25 cases reported so far in the literature. The usual therapy has been wide excision of the masses. 2 , 3 Recurrence of masses and skin ulceration at the sites of surgery have been frequent problems. 2 3 4 Case Report A 27-year-old black woman noted a mass in her right breast in November 1978, two years after the birth of her only child. She had taken oral contraceptives for five years . . .