ASO Author Reflections: A Symptom-Based Algorithm for Management of Granulomatous Mastitis in the United States

PASTGranulomatous mastitis (GM) is a benign inflammatory disease of the breast that can have a prolonged or relapsing course.Some patients will develop chronic wounds, recurrent episodes of inflammation, complex abscesses, and/or fistulas. 1,2Often, GM can mimic malignancy or abscess, and surgeons are frequently at the forefront of initial disease management.Once pathologic diagnosis is made, treatment regimens can vary widely, from observation alone, to surgery, immunosuppression, or multimodal treatment.Evidence-based management guidelines are limited.Most studies on GM have been conducted outside the USA, and many are retrospective chart reviews that lack information on cosmetic outcomes related to treatment. 3,