None listed
Conditions
Brief summary
Idiopathic granulomatous mastitis is a rare disease affecting young females. It is difficult to diagnose as it may mimic cancer clinically and radiologicaly. There is no consensus regarding management strategy of this disease. However, corticosteroids and surgical excision are the most commonly used therapies. Simple surgical excision with direct closure may be satisfactory for small lesions. On the other hand, for big lesions it results in disfigurement of the breast which will lead to psychological effects on those young ladies. So the Aim of the study is to evaluate the use of therapeutic mammoplasty surgical techniques for management of these patients in terms of recurrence and postoperative patients' satisfaction.
Interventions
Therapeutic mammoplasty starts by excision of the inflammatory mass with all infected tissue. Technique of closure of the defect will be tailored according to the site of the inflammatory mass according to each quadrant is as follows:
*Inflamatory mass at the upper half of the breast will be subjected to inferior pedicle therapeutic mammoplasty technique or round block.
*Inflamatory mass at the lower half of the breast will be subjected to superior pedicle therapeutic mammoplasty techniques
Therapeutic mammoplasty starts by excision of the inflammatory mass with all infected tissue. Technique of closure of the defect will be tailored according to the site of the inflammatory mass according to each quadrant is as follows: *Inflamatory mass at the upper half of the breast will be subjected to inferior pedicle therapeutic mammoplasty technique or round block. *Inflamatory mass at the lower half of the breast will be subjected to superior pedicle therapeutic mammoplasty techniques and round block. *Inflamatory mass at the periareolar region by Round block. Regarding the contralateral breast, only patient with bra size C or D (10 patients) were offered contra-lateral reduction mammoplasty for symmetry and better esthetic result. Seven patients accepted while 3patients refused the procedure. approximate duration of the procedure is 2 hours
Sponsors
Medical Research Institute
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Healthy volunteers
No
Inclusion criteria
Only patients with histopathological confirmation of Idiopathic granulomatous mastitis will be included in the study. Patients who have breast mass exceeding 20 % and less than 50% of the breast size with failed medical treatment (non decrease of mass size, severe pain from the mass that interfere with daily activity or intolerance to corticosteroid treatment) will be included in the study and will be offered surgical treatment. We used Bra Size as standard method for breast size while the size of the mass will be calculated clinically and radiologicaly.
Exclusion criteria
All patients with known etiology of granulomatous mastitis will be excluded from the study. Patients who have breast mass less than 20 % or more than 50% of breast size will also be excluded from the study and will be offered alternative surgical option.
Outcome results
None listed