Department of General Surgery, Mahakali Provincial Hospital, Mahendranagar, Kanchanpur, Nepal.
Lele Primary Health Care Centre, Lele, Lalitpur, Nepal.
JNMA J Nepal Med Assoc. 2024 Feb 24;62(270):136-138. doi: 10.31729/jnma.8442.
Idiopathic granulomatous mastitis is a rare benign breast disease of unknown aetiology mostly presenting as a breast abscess but not responding to usual conservative management with incision and drainage and frequently mimics breast cancer. We present a case 31-year-old female presented with complaints of right breast pain and redness who was initially diagnosed and treated as a case of breast abscess with repeated incision and drainage and antibiotics but did not improve. Later histopathology revealed granuloma with giant cell reaction and the patient was given a trial of steroids which showed no improvement. Wide local excision with a long course of broad-spectrum antibiotics was performed which led into remission. This case report highlights the importance of considering idiopathic granulomatous mastitis as differentials in non-responding breast abscesses. Histopathology for diagnosis and trial of wide local excision with a long course of broad-spectrum antibiotics as treatment may be done for management.
antibiotics; case reports; granuloma; mastitis.
中文译文：特发性肉芽肿性乳腺炎是一种罕见的良性乳腺疾病，病因不明，主要表现为乳腺脓肿，但常规的切开引流等保守治疗方法无效，且常与乳腺癌相混淆。我们报告 1 例 31 岁女性，因右乳房疼痛和发红就诊，最初被诊断为并接受了切开引流和抗生素治疗，但未见改善。后来的组织病理学显示为伴有巨细胞反应的肉芽肿，给予皮质类固醇治疗试验也未见改善。随后进行了广泛局部切除和长期广谱抗生素治疗，症状缓解。本病例报告强调了在非反应性乳腺脓肿中考虑特发性肉芽肿性乳腺炎作为鉴别诊断的重要性。组织病理学诊断和广泛局部切除联合长期广谱抗生素治疗试验可能有助于疾病的管理。
关键词：抗生素；病例报告；肉芽肿；乳腺炎。
