Idiopathic Granulomatous Mastitis: Overview and lmaging Findings
Yazarlar (2)
Dr. Öğr. Üyesi Zeycan Kübra CEVVAL Kastamonu Üniversitesi, Türkiye
Baki Hekimoğlu
Sağlık Bilimleri Üniversitesi, Türkiye
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri) (Diğer hakemli uluslararası dergilerde yayınlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale)
Dergi Adı ADVANCED RADIOLOGY AND IMAGING
Dergi ISSN 3023-784X
Dergi Tarandığı Indeksler ZENODO, TURK MEDLINE, TURKIYE ATIF DİZİNİ VB.
Makale Dili İngilizce Basım Tarihi 08-2024
Cilt / Sayı / Sayfa 1 / 2 / 20–27 DOI
Makale Linki https://advradiology.org/articles/idiopathic-granulomatous-mastitis-overview-and-imaging-findings/doi/AdvRadiolImaging.galenos.2024.18291
UAK Araştırma Alanları
Radyoloji
Özet
Idiopathic granulomatous mastitis (IGM) is a benign inflammatory breast disease characterized by non-caseating granulomas in the lobules of breast tissue. IGM primarily affects women of childbearing age. The actual prevalence of IGM is unknown although it is considered rare. Although the exact cause remains unclear, various triggers, such as autoimmunity, hormonal factors, and infectious agents, are believed to play a role in its pathophysiology. Imaging techniques, particularly ultrasound (US) and mammography, play vital roles in the preliminary diagnosis. The most common imaging findings are focal asymmetry on mammography and hypoechoic lesions that tend to coalesce and form tubular extensions on US. Advanced imaging techniques, including elastography and magnetic resonance imaging, can aid in diagnosis, although none of these findings are pathognomonic, necessitating histopathological evaluation for definitive diagnosis. Unlike infectious mastitis, antibiotics are not recommended for the treatment of IGM unless there is an accompanying bacterial infection. IGM should be considered in patients with mastitis that does not resolve despite prolonged antibiotic treatment. Corticosteroids are an effective first-line therapy for patients with histopathologically proven symptomatic IGM. Accurate diagnosis and treatment are crucial because of the potential for IGM findings to be mistaken for malignancy. This review discusses the general characteristics and imaging findings of IGM based on the current literature.
Anahtar Kelimeler
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
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