Later to Editor: Idiopathic Granulomatosis Mastitis, Time to a Paradigm Shift in Treatment

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KAVIANI AHMAD; VASIGH MAHTAB; Zand Sanaz

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Journal: Iranian Journal of Breast Diseases Year:2020 | Volume:13 | Issue:2 (49) Page(s): 69-73

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Title

Later to Editor: Idiopathic Granulomatosis Mastitis, Time to a Paradigm Shift in Treatment

Author(s)

KAVIANI AHMAD | VASIGH MAHTAB | Zand Sanaz | Issue Writer Certificate

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Abstract

Idiopathic granulomatous mastitis (IGM) is among the chronic diseases of the breast, which is more common in Middle Eastern countries than in Western countries. Since the etiology of the disease is not well known, there is no international consensus on the management of the disease. Antibiotic, Non-Steroidal antiinflammatory drugs (NSAIDs), corticosteroids, cytotoxic and immunosuppressive medications, surgery, and conservative management are among the therapeutic options. Considering the fact that management of IGM needs long-term treatment and in the longterm, most of the medications may show the side effect, treatment with corticosteroids and other immunomodulators or cytotoxic drugs should be recommended cautiously in a patient whose disease is confined to the breast. According to the evidence and long-term experience, the authors recommend applying conservative management along with the training of the patient on how to drain the collections by physical maneuvers. Obviously, if granulomatous mastitis would be a part of the clinical syndrome of a systemic disease, appropriate treatment should be done according to the underlying disease.

Cites

Classification of the Clinical Presentation, Severity, and Response to Treatment in Idiopathic Granulomatousis Mastitis

References

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APA: Copy

KAVIANI, AHMAD, VASIGH, MAHTAB, & Zand, Sanaz. (2020). Later to Editor: Idiopathic Granulomatosis Mastitis, Time to a Paradigm Shift in Treatment. IRANIAN QUARTERLY JOURNAL OF BREAST DISEASE, 13(2 (49) ), 69-73. SID. https://sid.ir/paper/400480/en

Vancouver: Copy

KAVIANI AHMAD, VASIGH MAHTAB, Zand Sanaz. Later to Editor: Idiopathic Granulomatosis Mastitis, Time to a Paradigm Shift in Treatment. IRANIAN QUARTERLY JOURNAL OF BREAST DISEASE[Internet]. 2020;13(2 (49) ):69-73. Available from: https://sid.ir/paper/400480/en

IEEE: Copy

AHMAD KAVIANI, MAHTAB VASIGH, and Sanaz Zand, “Later to Editor: Idiopathic Granulomatosis Mastitis, Time to a Paradigm Shift in Treatment,” IRANIAN QUARTERLY JOURNAL OF BREAST DISEASE, vol. 13, no. 2 (49) , pp. 69–73, 2020, [Online]. Available: https://sid.ir/paper/400480/en

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