CHRONIC GRANULOMATOUS MASTITIS: A SURGEON‘S DISTRESS

Introduction: Chronic granulomatous mastitis is a benign inflammatory disease of east. It presents as a lump in east with granulomatous changes around the lobules and ducts. This study discusses the clinical presentation, radiological examination results and its correlation with histopathological results of 50 cases diagnosed with granulomatous mastitis.

Materials and Methods: We conducted a study of50 patients that were diagnosed with granulomatous mastitis after a histopathological examination in Krishna Institute of Medical Sciences, Karad, India from Feb 2015–July 2017.

Results: Out of the 50 cases with clinicalfeatures of granulomatous mastitis, 47 were diagnosed as Idiopathic granulomatous mastitis in their histological examination and 3 cases were diagnosed as Tuberculosis. 45 of these cases were referred with the initial diagnosis of inflammatory east carcinoma. H &E  (Gram) and Erlich Ziehl Nelson (ZN) staining results were negative for all cases.

Discussion: Chronic granulomatous mastitis is disease of the reproductive age group, which may be misdiagnosed as east carcinoma in clinical and radiological examinations, which is proved otherwise in histopathological reports.

Chronic granulomatous mastitis   breast   granulomatous inflammation   tuberculosis.