Relationship of post-treatment radiological findings with relapses in idiopathic granulomatous mastitis patients.

Northern clinics of Istanbul Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.14744/nci.2023.32309

Gunay Rona, Meral Arifoglu, Kenan Cetin, Muhammet Fikri Kundes

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Abstract

Objective: The aim of this study is to investigate the relationship between post-treatment radiological findings and recurrences in idiopathic granulomatous mastitis (IGM).

Methods: Clinical data, ultrasound (US) and magnetic resonance imaging (MRI) examinations of 160 patients with IGM (mean age 34.6±7 years; range 20-56 years) who received only steroid or steroid+surgical treatment were evaluated retrospectively. Patients were grouped as radiological complete response (RCR) or radiological incomplete response (RIR).

Results: Only in the steroid group, 79 (54.1%) patients were in the RCR group and 67 (45.9%) patients were in the RIR group. Recurrence occurred in 42 (26.3%) patients, 27 (16.9%) in the same breast and 15 (9.4%) in the contralateral breast. Most of the recurrences in the same breast had residual lesions up to recurrence (74.1%).

Conclusion: Residual lesion after treatment is a risk factor for recurrence, and treatment can significantly reduce recurrences until the lesions disappear. The lesion size on MRI after treatment is not associated with recurrence.

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特发性肉芽肿性乳腺炎患者治疗后放射学检查结果与复发的关系

目的本研究旨在探讨特发性肉芽肿性乳腺炎（IGM）治疗后放射学检查结果与复发之间的关系：回顾性评估了160例只接受类固醇治疗或类固醇+手术治疗的特发性肉芽肿性乳腺炎患者（平均年龄34.6±7岁；范围20-56岁）的临床数据、超声波（US）和磁共振成像（MRI）检查结果。患者被分为放射学完全反应组（RCR）和放射学不完全反应组（RIR）：仅在类固醇治疗组中，就有 79 例（54.1%）患者属于 RCR 组，67 例（45.9%）患者属于 RIR 组。42例（26.3%）患者复发，其中27例（16.9%）发生在同侧乳房，15例（9.4%）发生在对侧乳房。在同侧乳房复发的患者中，大多数在复发前有残留病灶（74.1%）：结论：治疗后的残留病灶是复发的危险因素，治疗可显著减少复发，直至病灶消失。治疗后磁共振成像显示的病灶大小与复发无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Northern clinics of Istanbul

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