Letter to the Editor
Idiopathic perilobular granulomatous mastitis: Diagnostic and therapeutic considerations
Mastitis granulomatosa perilobulillar idiopática: aspectos diagnósticos y terapéuticos
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Clinically, most of them presented with a malignant breast neoplasia. Radiology (mammography and ultrasound scan) showed all of them had injuries of suspected malignancy. In all the patients, a diagnosis had been made using an anatomopathological examination following a biopsy made with a thick needle, led by an ultrasound scan. The 6 patients were women with a mean age of 36.6 years at the time of diagnosis (range: 29–46). Two of them were nulliparous. Mean follow-up was one year; one patient did not agree to medical examination. Ethnically, the patients were Caucasian, 3 (59%); southeast Asian (Chinese), 2 (33.3%); and Latin American (mestizo), 1 (16.6%). The patients consulted for: breast abscess (2; 33.3%), breast mass (3; 50%) and breast pain (1; 16.6%). The injury was located in the left breast in 4 patients, and in the right breast in one patient. The injuries prevailed in the superior quadrants. The initial suspicion was neoplasia in half of the patients, or galactophoritis. Mammography and breast ultrasound scans were performed on all of the patients with findings of suspected malignancy followed by percutaneous biopsy, led by an ultrasound scan, which gave the diagnosis. Autoimmune tests were negative in all the patients.</p><p id="par0015" class="elsevierStylePara elsevierViewall">All patients were treated with glucocorticosteroids at doses of 30<span class="elsevierStyleHsp" style=""></span>mg, reducing the mass until its disappearance. Two patients needed surgical drainage initially. Recurrences were not observed.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Sanint J, Mariscal Martínez A, Julián Ibáñez JF, Olivé Marqués A. Mastitis granulomatosa perilobulillar idiopática: aspectos diagnósticos y terapéuticos. Med Clin (Barc). 2015;144:528.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mastitis granulomatosa perilobulillar idiopática: descripción de un caso" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I. Calero-Paniagua" 1 => "C.P. Coca-Gonzáles" 2 => "E.J. Amao-Ruiz" 3 => "J.A. Nieto-Rodríguez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "2014" "volumen" => "142" "paginaInicial" => "229" "paginaFinal" => "230" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014400000011/v1_201602060036/S2387020615002582/v1_201602060036/en/main.assets" "Apartado" => array:4 [ "identificador" => "43309" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014400000011/v1_201602060036/S2387020615002582/v1_201602060036/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020615002582?idApp=UINPBA00004N" ]
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