Evaluation of Surgical Treatment and Intraoperative Local Steroid Application Outcomes in Granulomatous Mastitis

Abstract

Granulomatous mastitis is a rare benign inflammatory disease of the breast. Although the etiology of granulomatous mastitis is not known exactly, it can be confused with breast cancer due to its findings and appearance. In addition, this disease, which is characterised by inflammation, causes recurrent infections and considerable tissue loss if left untreated. Therefore, diagnosis and early treatment are very important. In our study, we aimed to show the results of intraoperative local steroid administration after surgical resection in the treatment of patients with granulomatous mastitis. In our study, the hospital records and files of 39 patients diagnosed with granulomatous mastitis and treated with surgical treatment and intraoperative local steroid administration were retrospectively analysed. Age, gender, radiological and laboratory findings, surgical methods, postoperative recurrence rates and histopathological features were noted. Success rates were investigated and it was observed that intrathecal steroid treatment given after resection decreased recurrence. As a result, it was concluded that surgical wide or total excision and intraoperative local steroid administration would be the most appropriate treatment for the definitive treatment of granulomatous mastitis. Although abscess drainage and antibiotic treatment is effective in rare cases, surgical treatment should be preferred in chronic and complicated cases.