Clinical and Radiological Differences Between Fistular and Non-Fistular Idiopathic Granulomatous Mastitis
Tarih
2019Yazar
ERYILMAZ, Necla
ERYILMAZ, Mehmet Ali
ARSLAN, Serdar
SOLAK, İbrahim
PEKGÖR, Selma
ALLTUNKESER, Ayşegül
ÖMEROĞLU, Ethem
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Background: Idiopathic granulomatous mastitis (IGM) is a rare and benign
chronic inflammatory breast disease. The disease is usually associated
with recurrent attacks and may result in the formation of fistulas.
Fistula or ulceration on the skin of the breast makes it difficult to
medication treatment and may necessitate extensive skin excision in
patients undergoing surgery.
Objectives: This study aimed to compare the clinical and radiological
findings between fistular and non-fistular idiopathic granulomatous
mastitis.
Patients and Methods: The clinical and radiologic findings of 52 women
with a histopathology diagnosis of idiopathic granulomatous mastitis
were retrospectively evaluated. All the patients were assessed using
ultrasonography and magnetic resonance imaging. Of the 52 patients, 20
underwent mammography. The findings in patients with fistular and
non-fistular idiopathic granulomatous mastitis were compared.
Results: Erythema, ulceration, and nipple changes were more common in
patients with fistular idiopathic granulomatous mastitis. While the most
common finding in ultrasounography in fistular IGM patients were
collection areas with complicated cysts consistent with abscess, the
finding in non-fistular IGM patients were multiple irregularly shaped
hypoechoic masses. In magnetic resonance imaging, the most common
finding in fistular IGM patients was non-mass lesions with regional
clustering ring enhancement, whereas the most frequent finding in
non-fistular IGM patients was non-mass lesions with regional
heterogeneous enhancement. There were statistically significant
differences between findings of both groups.
Conclusion: There are differences in the clinical and radiologic
findings of fistular and non-fistular idiopathic granulomatous mastitis.
Ultrasonography and magnetic resonance imaging could be useful in
identifying patients with a high risk of developing fistulas.
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