Evaluation of therapeutic mammoplasty techniques in the surgical management of female patients with idiopathic granulomatous mastitis with mild to moderate inflammatory symptoms in terms of recurrence and patients’ satisfaction

Article type: Research Article

Authors: Ahmed, Yasser S.^a | Abd El Maksoud, Walid^{b; *}

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: dr.waleedmaksoud@gmail.com

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