Conte Alpha Boubacar, Alaoui Fatima Zohra Fdili, Jayi Sofia, Chaara Hikmat, Melhouf Moulay Abdelilah
Université Sidi Mohamed Ben Abdellah, Service de Gynécologie-Obstétrique II, Centre Hospitalier Universitaire Hassan II de Fès, Fès, Maroc.
Pan Afr Med J. 2022 Dec 16;43:196. doi: 10.11604/pamj.2022.43.196.26754. eCollection 2022.
Idiopathic granulomatous mastitis (IMD) is a chronic benign inflammatory disease of the breast which can mimic breast cancer. It is more common in young women of childbearing age and poses a challenge in diagnosis of inflammatory breast tumor. We report the case of a 26-year-old female patient who presented with inflammatory breast. Clinical examination showed apyretic patient with edematized and painless irregular smooth mass in the left breast measuring 4 cm surmounted by crusts and multiples fistulizing scars discharging pus by applying pressure, with mobile ipsilateral axillary adenopathy. The remainder of the physical examination showed inflammatory erythematous patches on both legs. A mammogram plus breast ultrasound was performed followed by biopsy that objectified fibrous mastopathy. Lumpectomy was performed due to the persistence of symptoms. Anatomopathological examination objectified granulomatous mastitis. Etiological research didn't identify a clear cause. Corticotherapy associated with antibiotic therapy was started with complete regression of symptoms after two months.
特发性肉芽肿性乳腺炎（IGM）是一种可酷似乳腺癌的乳腺慢性良性炎症性疾病。它在育龄年轻女性中更为常见，对炎性乳腺肿瘤的诊断构成挑战。我们报告一例26岁患有炎性乳腺的女性患者。临床检查显示患者无发热，左乳有一个4厘米大小、水肿、无痛、不规则、表面光滑的肿块，肿块上有痂皮，并有多个瘘管化瘢痕，按压时有脓液流出，同侧腋窝淋巴结可活动。体格检查的其余部分显示双腿有炎性红斑。进行了乳房X线摄影加乳腺超声检查，随后活检确诊为纤维性乳腺病。由于症状持续存在，进行了肿块切除术。解剖病理学检查确诊为肉芽肿性乳腺炎。病因研究未发现明确病因。开始采用皮质类固醇疗法联合抗生素治疗，两个月后症状完全消退。
