Idiopathic Chronic Granulomatous Mastitis (IGM)

  • IGM occurs predominantly in:
    • Hispanic women of childbearing age
  • IGM has major implications for quality of life:
    • With a high prevalence of pain and scarring
  • Treatment with
    • Doxycycline 100 mg twice daily:
      • Was successful as a first-line therapy:
        • With complete response in 50% of patients
    • Corticosteroid courses can be utilized:
      • Either short term coursed vs long term courses (6- to 12-month)
    • Methotrexate:
      • Appeared to be a successful second-line therapy in patients with disease that was refractory to doxycycline (complete response in 50%)
    • Although surgical therapy for IGM has been suggested in the literature:
      • Adequate medical management may alleviate the need for surgical intervention

#Arrangoiz #BreastSurgeon #CancerSurgeon #SurgicalOncologist #IGM #IdiopathicGranulomatousMastitis #CASO #CenterforAdvancedSurgicalOncology

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