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

Copyright © 2000 EDIZIONI MINERVA MEDICA

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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