Management of idiopathic granulomatous mastitis with observation
| Autor: | Lakshmi Jayaram, Ian K. Komenaka, Patrick J. O'Neill, Chiu Hsieh Hsu, Marcia E. Bouton |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Benign condition Pediatrics medicine.medical_specialty Exacerbation business.industry General Medicine Granulomatous mastitis Middle Aged medicine.disease Surgery Natural history Young Adult Patient Education as Topic Clinical history Chart review medicine Humans Female Granulomatous Mastitis Watchful Waiting business Retrospective Studies |
| Zdroj: | The American Journal of Surgery. 210:258-262 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2014.08.044 |
| Popis: | Background Idiopathic granulomatous mastitis (IGM) is becoming more commonly recognized and reported more often. Currently, many recommend corticosteroids in its management. Methods A retrospective chart review was conducted from January 2002 to June 2013. Data were collected regarding sociodemographic information, clinical history, treatment, and outcomes. Results Thirty-seven patients were found with IGM. Thirty-five patients were Hispanic born outside the United States. Early in the time period reviewed, 5 patients had masses excised and 5 patients were lost to follow-up. Twenty-seven cases of IGM resolved with observation. Corticosteroids were not used in the management. The average time to resolution was 7.4 months. Three patients (11%) had recurrent episodes after resolution. Conclusions IGM is a self-limited benign condition that will resolve spontaneously without treatment. Patience with the natural history of IGM is important, as the process often includes periods of exacerbation before resolution. |
| Databáze: | OpenAIRE |
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