scholarly journals Idiopathic granulomatous mastitis with erythema nodosum and polyarthritis

Reumatismo ◽  
2016 ◽  
Vol 68 (2) ◽  
pp. 97 ◽  
Author(s):  
J. Alungal ◽  
M.C. Abdulla ◽  
R. Narayan
Keyword(s):  
Erythema Nodosum ◽  
Oral Prednisolone ◽  
Needle Aspiration ◽  
Left Breast ◽  
Chronic Inflammatory Disease ◽  
Granulomatous Mastitis ◽  
Aspiration Cytology ◽  
Idiopathic Granulomatous Mastitis ◽  
Painful Mass ◽  
Needle Aspiration Cytology

A 25 year-old woman presented with a painful mass in the left breast, polyarthritis and erythema nodosum. Fine needle aspiration cytology led to a diagnosis of granulomatous mastitis. Oral prednisolone rapidly improved the arthritis and the erythema nodosum. Granulomatous mastitis is a very rare, chronic inflammatory disease and only ten patients with granulomatous mastitis with erythema nodosum and polyarthitis have been described.

Idiopathic Granulomatous Mastitis: Cytologic and Histologic Study of 65 Egyptian Patients

2016 ◽  
Vol 60 (5) ◽  
pp. 438-444 ◽  
Author(s):  
Thanaa El A. Helal ◽  
Lobna S. Shash ◽  
Somaia A. Saad El-Din ◽  
Sally M. Saber
Keyword(s):  
Middle Eastern ◽  
Breast Disease ◽  
Needle Aspiration ◽  
Granulomatous Mastitis ◽  
Aspiration Cytology ◽  
Idiopathic Granulomatous Mastitis ◽  
Tissue Sections ◽  
Egyptian Patients ◽  
Needle Aspiration Cytology

Background: The etiology of idiopathic granulomatous mastitis (IGM) is unknown, and it is commonly misdiagnosed clinically and/or radiologically as breast cancer. The role of fine-needle aspiration cytology (FNAC) in its diagnosis is still a matter of debate. The aim of the current study is to assess the value of FNAC in the diagnosis of IGM, and to search for the presence of bacteria in IGM with cystic vacuoles, which was described recently by a few authors. Materials and Methods: Retrospective study of cytologic smears and histologic tissue sections of 65 Egyptian IGM cases was done along with microbiologic testing. A comparison of the frequency of IGM in Egypt to that of other populations was also made. Results: IGM has typical FNA features which can easily exclude malignancy. Histologically, cystic vacuoles were encountered in 35 out of 65 cases (53.9%), with only 6 (17.14%) of these cases showing Gram-positive bacilli (GPB). The frequency of IGM in Egypt is comparable to those in other Middle Eastern countries but much higher than in Western countries. Conclusion: IGM is a common breast disease in Egypt. FNAC in IGM has a high diagnostic accuracy. This study supports the few recent studies that have detected GPB in IGM with cystic vacuoles. Thus, bacteriologic examination in such cases may affect the treatment strategy.

scholarly journals Granulomatous mastitis-a challenging surgical entity

2017 ◽  
Vol 4 (6) ◽  
pp. 2077 ◽  
Author(s):  
Thrishuli P. B. ◽  
Akshata Kamath B.
Keyword(s):  
Breast Disease ◽  
Needle Aspiration ◽  
Chronic Inflammatory Disease ◽  
Wide Excision ◽  
Reproductive Age ◽  
Excision Biopsy ◽  
Granulomatous Mastitis ◽  
Idiopathic Granulomatous Mastitis ◽  
Short Course ◽  
Needle Aspiration Cytology

Background: Idiopathic granulomatous mastitis is a rare benign breast disease, first described by Kessler and Wolloch in 1972. It is characterized by chronic necrotizing granulomatous lobulitis of unknown aetiology. The objective of the study is to find out the clinical and management profile of granulomatous mastitis (GM). This study was carried out at JSS hospital, Mysore, Karnataka, India during the period 2014-2016.Methods: Histopathologically diagnosed cases of GM were studied. Data included, detailed history, examination, clinical diagnosis, ultrasound, mammogram and fine needle aspiration cytology (FNAC). All patients were followed for a period of 6 months. Recurrent cases were managed by wide excision and followed for another period of 6 months.Results: 8 patients who were hisptopathologically diagnosed to have granulomatous mastitis were studied. The mean age was found to be 43.5 years. All patients presented with a painless breast lump and were unilateral. The incidence of the same was found to be higher (3.7%) compared to other large volume studies. The best treatment modality with least recurrence in 4 cases was wide local excision and 1 case of quandrantectomy.Conclusions: GM is an uncommon chronic inflammatory disease of the breast. Usually involving a single non-lactating breast in reproductive age group. It clinically mimics tuberculosis and carcinoma. Mammography remains non-conclusive. Excision and wide excision biopsy are both diagnostic and therapeutic in majority of cases. Treatment includes short course of steroids and antibiotic along with close regular surveillance.

scholarly journals Idiopathic Granulomatous Mastitis Presented with Reactive Arthritis and Erythema Nodosum: Case Report from Iraq

2021 ◽  
Author(s):  
Faiq I. Gorial ◽  
Farah J.
Keyword(s):  
Case Report ◽  
Inflammatory Disease ◽  
Reactive Arthritis ◽  
Erythema Nodosum ◽  
Chronic Inflammatory Disease ◽  
Granulomatous Mastitis ◽  
Inflammatory Mass ◽  
Idiopathic Granulomatous Mastitis

Abstract Idiopathic Granulomatous Mastitis (IGM) is a rare chronic inflammatory disease that involves the development of an inflammatory mass in the breast, which may be difficult to differentiate from malignancy. Few patients have been reported in the literature presenting with arthritis accompanying IGM of breast. Here we report a case of Iraqi patient presented as IGM with reactive arthritis and erythema nodosum.

scholarly journals MALE BREAST CANCER;

2017 ◽  
Vol 24 (04) ◽  
pp. 633-636
Author(s):  
Abid Rashid ◽  
Mohsin Khurshid ◽  
Umbreen Naz ◽  
Muhammad Naeem ◽  
Muhammad Mudassar Ashraf ◽  
...  
Keyword(s):  
Needle Aspiration ◽  
Left Breast ◽  
Breast Cancers ◽  
Breast Carcinomas ◽  
Aspiration Cytology ◽  
Ductal Cell ◽  
History Of ◽  
History Of Pain ◽  
Left Nipple ◽  
Needle Aspiration Cytology

Breast carcinomas are an uncommon neoplastic condition in men, whichaccounts for only 1% of all breast cancers, and not more than 1% of all malignancies in men.A 55 years old man presented with a ulcerated mass in the left breast with a history of pain,discharge and fever. On examination, there was an ulcerating growth above the left nipple withnumerous maggots. The fine needle aspiration cytology confirmed the ductal cell carcinomawhich was further confirmed by ulcer edge biopsy.

scholarly journals Invasive lobular carcinoma co-existing with benign phylloides tumor

2014 ◽  
Vol 4 (7) ◽  
pp. 597-599
Author(s):  
S Shrestha ◽  
B Sigdel ◽  
K Pande ◽  
B Gurung
Keyword(s):  
Invasive Lobular Carcinoma ◽  
Lobular Carcinoma ◽  
Breast Tumors ◽  
Needle Aspiration ◽  
Left Breast ◽  
Aspiration Cytology ◽  
Spindle Cells ◽  
Needle Aspiration Cytology ◽  
Estrogen And Progesterone Receptor

Phylloides tumor constitutes less than 1% of all breast tumors and 2 - 3% of fibroepithelial breast tumors. Several histological parameters should be evaluated, including stromal cellularity, atypia, mitoses, stromal overgrowth, infiltrative borders, and presence or absence of necrosis. Here we report a case of a 60 years- old female who presented with left breast lump. Fine needle aspiration cytology was done which suggested epithelial hyperplasia with fibrocystic changes. Biopsy was performed which showed predominance of stromal hypercellularity with proliferation of spindle cells (no atypia, mitosis and stromal overgrowth were noticed). However, a focus showed proliferation of discohesive tumor cells arranged singly and in single file. A diagnosis of benign phylloides tumor with foci of invasive lobular carcinoma was made. The diagnosis was confirmed with IHC which showed intense 80%positivity for estrogen and progesterone receptor and spindle cells showing positivity for bcl-2. In situ lobular carcinoma component was not observed. DOI: http://dx.doi.org/10.3126/jpn.v4i7.10321   Journal of Pathology of Nepal (2014) Vol. 4, 597-599

scholarly journals Idiopathic Granulomatous Mastitis Presented with Reactive Arthritis and Erythema Nodosum: Case Report from Iraqi

2021 ◽  
Vol 1 ◽  
pp. 50-52
Author(s):  
Faiq Gorial ◽  
Farah Mahdi
Keyword(s):  
Case Report ◽  
Inflammatory Disease ◽  
Reactive Arthritis ◽  
Erythema Nodosum ◽  
Chronic Inflammatory Disease ◽  
Granulomatous Mastitis ◽  
Inflammatory Mass ◽  
Idiopathic Granulomatous Mastitis

Idiopathic Granulomatous Mastitis (IGM) is a rare chronic inflammatory disease that involves the development of an inflammatory mass in the breast, which may be difficult to differentiate from malignancy. Few patients have been reported in the literature presenting with arthritis accompanying IGM of the breast. Here we report a case of an Iraqi patient who presented as IGM with reactive arthritis and erythema nodosum.

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