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KMID : 0371320130850010001
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Journal of the Korean Surgical Society
2013 Volume.85 No. 1 p.1 ~ p.6
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Experience of treatment of patients with granulomatous lobular mastitis
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Hur Sung-Mo
Cho Dong-Hui
Lee Se-Kyung
Choi Min-Young
Bae Soo-Youn
Koo Min-Young
Kim Sang-Min
Choe Jun-Ho
Kim Jung-Han
Kim Jee-Soo
Nam Seok-Jin
Yang Jung-Hyun
Lee Jeong-Eon
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Abstract
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Purpose : To present the author’s experience with various treatment methods of granulomatous lobular mastitis (GLM) and to determine effective treatment methods of GLM. Methods : Fifty patients who were diagnosed with GLM were classified into five groups based on the initial treatment methods they underwent, which included observation (n = 8), antibiotics (n = 3), steroid (n = 13), drainage (n = 14), and surgical excision (n = 12). The treatment processes in each group were examined and their clinical characteristics, treatment processes, and results were analyzed respectively. Results : Success rates with each initial treatment were observation, 87.5%; antibiotics, 33.3%; steroids, 30.8%; drainage, 28.6%; and surgical excision, 91.7%. In most cases of observation, the lesions were small and the symptoms were mild. A total of 23 patients underwent surgical excision during treatment. Surgical excision showed particularly fast recovery, high success rate (90.3%) and low recurrence rate (8.7%). Conclusion : The clinical course of GLM is complex and the outcome of each treatment type are variable. Surgery may play an important role when a lesion is determined to be mass-forming or appears localized as an abscess pocket during breast examination or imaging study.
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KEYWORD
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Breast, Granulomatous mastitis, Treatment, Excision
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