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Article type: Research Article
Authors: Ahmed, Yasser S.a | Abd El Maksoud, Walidb; *
Affiliations: [a] Medical Research Institute, University of Alexandria, Egypt | [b] Department of General Surgery, Faculty of Medicine, University of Alexandria, Egypt
Correspondence: [*] Corresponding author: Walid Abd El Maksoud, Department of General Surgery, Faculty of Medicine, Alexandria University, Postal code 21526, Alexandria, Egypt. Mobile: 00201 211433351; Fax: 00203 5910720; E-mail: [email protected]
Abstract: BACKGROUND:Although idiopathic granulomatous mastitis (IGM) affects young females, its surgical management usually leads to disfigurement of the breasts. OBJECTIVES:To assess the use of therapeutic mammoplasty techniques for management of IGM in terms of recurrence and postoperative patients’ satisfaction. METHODS:This prospective clinical study included thirteen patients who were diagnosed histologically as IGM. Patients with moderate to large breasts, who had a breast mass between 20–50% of the breast size with failed medical treatment or intolerability to steroids were subjected to therapeutic mammoplasty techniques. Only patients with large breasts were offered contra-lateral reduction mammoplasty to resume symmetry and achieve better aesthetic results. RESULTS:Early postoperative bleeding that was encountered in one patient (7.7%) was the only serious postoperative complication. Patient was re-operated and the bleeder was secured. Recurrence occurred in 2 patients (15.4%) at 16 and 24 months after the operation. Kyungpook National University Hospital (KNUH) breast reconstruction satisfaction questionnaire used to assess patients’ satisfaction 6 months after the operation and revealed that 10 patients (76.9%) were satisfied after the operation. CONCLUSION:Using therapeutic mammoplasty techniques in surgical management of IGM in moderate to large breasts seems justifiable with good results regarding recurrence and postoperative patients’ satisfaction.
Keywords: Granulomatous mastitis, therapeutic mammoplasty, surgery, management
DOI: 10.3233/BD-150198
Journal: Breast Disease, vol. 36, no. 1, pp. 37-45, 2016
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