Abstract
Background: Granulomatous mastitis is a rare breast disorder first described by Kessler and wolloch in 1972, it mimics breast cancer and other inflammatory breast conditions for a great extent, and so careful clinical and radiological examination is required. Granulomatous mastitis is a pathological diagnosis needs expert pathologist. Treatment was exclusively surgical, now corticosteroids and other immunosuppressive drugs used as well prior to surgery.
Methods: This prospective follow-up study was conducted on 36 patients from november2017 to Jun 2019, on patients diagnosed with granulomatous mastitis in Zagazig university hospitals, full clinical assessment and follow up for different treatment modalities in 6 months period (6 months cure rate).
Results: Most of our patients were in child bearing period, presented mostly with breast mass accompanied by axillary lymphadenopathy. U/s features were mostly irregular hypoechoic mass and axillary lymphadenopathy. BIRADS classification were mostly 3 and 4. Most of the patients received medical treatment which showed better results than surgical treatment.
Conclusion: Granulomatous mastitis may present by many ways confusing the physician, it needs high rate of suspicion and careful assessment as it mimics many other benign and malignant breast conditions, medical treatment has better results than surgical once as regard cure rate, recurrence and cosmetic outcomes.
Key Words: Granulomatous mastitis, BIRADS score, breast mass, breast cancer.