Chronic Granulomatous Mastitis- A Dilemma

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BACKGROUNDChronic granulomatous mastitis is a benign inflammatory disease of breast.It presents as a lump in breast with granulomatous changes around the lobules and ducts.This study discusses the clinical presentation, radiological examination results and its correlation with histopathological results of 50 cases diagnosed with granulomatous mastitis. MATERIALS AND METHODSWe conducted a study on 50 patients that were diagnosed with granulomatous mastitis after a histopathological examination in Krishna Institute of Medical Sciences, Karad, India from Feb 2015 -July 2017. RESULTSOut of the 50 cases with clinical features of granulomatous mastitis, 47 were diagnosed as Idiopathic granulomatous mastitis on their histological examination and 3 cases were diagnosed as Tuberculosis.45 of these cases were referred with the initial diagnosis of inflammatory breast carcinoma.H and E (Gram) and Ehrlich Ziehl-Neelsen (ZN) staining results were negative for all cases. CONCLUSIONChronic granulomatous mastitis is seen mostly in young females of the reproductive age group, which may be misdiagnosed as breast carcinoma in clinical and radiological examinations which is proved otherwise in histopathological reports; hence, a complete evaluation of the lump is necessary.A medical line of management has proved to be more fruitful rather than mastectomy in our research.