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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2000 August;159(4):149-52

language: English

Granulomatous mas­titis mim­ick­ing in­flam­ma­to­ry car­ci­no­ma of the ­breast

Makris J. G. 1, Souparis A. C. 1, Papaziogas B. T. 1, Panagiotopoulou K. 2, Pavlidis T. E. 1, Papaziogas T. B. 1

1 2nd Surgical Clinic, Aristoteles University, Thessaloniki, Greece;
2 Institute for Pathology “G. Gennimatas” Hospital, Thessaloniki, Greece


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Granulomatous mas­titis is a ­rare, chron­ic ne­cro­tiz­ing gran­u­lom­a­tous lob­u­litis of un­cer­tain eti­ol­o­gy, ­which can clin­i­cal­ly mim­ic car­ci­no­ma of the ­breast. We re­port a ­case of gran­u­lom­a­tous mas­titis in a 45 ­year old wom­an, who pre­sent­ed ­with a ten­der ­mass in her ­right ­breast. The clin­i­cal pres­en­ta­tion and the mam­mo­graph­ic find­ings ­were sus­pi­cious for in­flam­ma­to­ry car­ci­no­ma of the ­breast. The ­open bi­op­sy re­vealed the pres­ence of gran­u­lom­a­tous mas­titis. The pa­tient re­ceived an em­pir­ic treat­ment ­with ket­o­kon­a­zole 200 mg×3 for 10 ­weeks, show­ing a sig­nif­i­cant re­gres­sion of the in­fec­tious ­mass.

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