Idiopathic Granulomatous Mastitis.
Idiopathic granulomatous mastitis (IGM) is a rare, benign inflammatory disorder of the breast that is often underrecognized. The exact etiology and pathophysiology are unknown, but milk stasis is felt to play a role. Classically, this condition is noninfectious, but many cases are noted to be associ...
| Publicado en: | Breast Journal pp. 1 - 10 |
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| Autores principales: | , , , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
1/25/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175055660&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175055660 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1075122X ET6 jtl: Breast Journal issn: 1075122X maglogo: Y pubinfo: dt: 1/25/2024 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175055660 175055660 175055660 10.1155/2024/6693720 175055660 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Idiopathic Granulomatous Mastitis. aug: au: Dilaveri, Christina Degnim, Amy Lee, Christine DeSimone, Daniel Moldoveanu, Dan Ghosh, Karthik affil: Mayo Clinic, Department of Medicine, Division of General Internal Medicine, Rochester, USA sug: subj: Mastitis Diagnosis Granuloma Diagnosis Mastitis Pathology Granuloma Pathology Disease Attributes Neoplasm Recurrence, Local Diagnosis, Differential Biopsy Methotrexate Therapeutic Use Azathioprine Therapeutic Use Mycophenolate Mofetil Therapeutic Use Bromocriptine Therapeutic Use Mastitis Drug Therapy Granuloma Drug Therapy Mastitis Etiology Granuloma Etiology ab: Idiopathic granulomatous mastitis (IGM) is a rare, benign inflammatory disorder of the breast that is often underrecognized. The exact etiology and pathophysiology are unknown, but milk stasis is felt to play a role. Classically, this condition is noninfectious, but many cases are noted to be associated with Corynebacterium species. Most patients affected are parous women with a mean age of 35, and many have breastfed within five years of diagnosis. Patients typically present with a painful mass and symptoms of inflammation, and these features can sometimes mimic breast cancer. Biopsy is needed to make a definitive diagnosis, and noncaseating granulomas are found on core biopsy. Many patients have a waxing and waning course over a period of six months to two years. Goal of treatment is to avoid surgery given poor wound healing, high risk of recurrence, and poor cosmetic outcomes. Medical treatment is preferred and includes observation, antibiotics, steroids, and immune modulators such as methotrexate. In more recent years, topical and intralesional steroids have become the treatment of choice, with similar outcomes to oral steroids. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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