Misdiagnosis IGM with Breast Abscess: A Case Report

Jalal Vahedian¹, Ali Zare Mehrjardi², Ehsan Saraee³ and Amir Saraee^1,

¹General Surgery Department, Firoozgar Hospital, Tehran University of Medical Science, Tehran, Iran

²Pathology Department, Firoozgar Hospital, Tehran University of Medical Science, Tehran, Iran

³Faculty of Medical Sciences, Tehran University of Medical Science, Tehran, Iran

Cite this paper:
Jalal Vahedian, Ali Zare Mehrjardi, Ehsan Saraee and Amir Saraee. Misdiagnosis IGM with Breast Abscess: A Case Report. American Journal of Medical Sciences and Medicine. 2013; 1(5):83-85. doi: 10.12691/ajmsm-1-5-2

Abstract

Idiopathic granulomatous mastitis (IGM) is an uncommon chronic inflammatory lesion of the breast, which is sometimes misdiagnosed as breast cancer or breast abscess. We present a 30-year old woman who came to our clinic with a recurrent and multiple abscesses in her left breast. After twice incision and drainage of the abscess, and after pathologic diagnosis of IGM, she was treated with prednisolone and responded dramatically.

Keywords:
idiopathic granulomatous mastitis breast abscess tuberculous mastitis

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References:

[1]	Erozgen F, Ersoy YE, Akaydin M, Memmi N, Celik AS, Celebi F, Guzey D, Kaplan R ,“Corticosteroid treatment and timing of surgery in idiopathic granulomatous mastitis confusing with breast carcinoma,” Breast Cancer Res Treatment, 123(2).447-452. Sep.2010.
[2]	Hovanessian Larsen LJ, Peyvandi B, Klipfel N, Grant E, Iyengar G,“Granulomatous Lobular Mastitis: Imaging, Diagnosis, and Treatment,”AJR Am J Roentgenol, 193(2).574-581. Aug.2009.
[3]	Vinayagam R, Cox J, Webb L,“Granulomatous Mastitis: A Spectrum of Disease,” Breast Care (Basel), 4(4).251–254. Aug.2009.
[4]	Kessler E, Wolloch Y,“Granulomatous mastitis: a lesion clinically simulating carcinoma,”Am J ClinPathol, 58(6).642- 646.Dec.1972.
[5]	C Michie, F Lockie, W Lynn, “The challenge of mastitis,” AJR,193(2).574-581. Aug.2009.
[6]	Bakaris S, Yuksel M, Ciragil P, Guven MA, Ezberci F, Bulbuloglu E,“Granulomatous mastitis including breast tuberculosis and idiopathic lobular granulomatous mastitis,”Can J Surg,49(6).427–430. Dec.2006.
[7]	Seo HR, Na KY, Yim HE, Kim TH, Kang DK, Oh KK, Kang SY, An YS, Chun M, Kim W, Park RW, Jung YS, Kim KS,“Differential Diagnosis in Idiopathic Granulomatous Mastitis and Tuberculous Mastitis,”J Breast Cancer,15(1).111–118. Mar.2012.
[8]	Bakaris S, Yuksel M, Ciragil P, Guven MA, Ezberci F, Bulbuloglu E,“Granulomatous mastitis including breast tuberculosis and idiopathic lobular granulomatous mastitis,”Can J Surg,49(6).427-430. Dec.2006.
[9]	Martínez-Parra D, Nevado-Santos M, Meléndez-Guerrero B, García-Solano J, Hierro-Guilmain CC, Pérez-Guillermo M,“Utility of fine-needle aspiration in the diagnosis of granulomatous lesions of the breast,”Diagn Cytopathol,17(2).108-114. Aug.1997.
[10]	Kim J, Tymms KE, Buckingham JM, ”Methotrexate in the management of granulomatous mastitis,”ANZ J Surg,73(4).247–249. Apr.2003.