Nair CG, Hiran, Jacob P, Menon RR, Misha, 2015. Inflammatory diseases of the non-lactating female breasts. Int J Surg 13: 8–11.
Pluguez-Turull CW, Nanyes JE, Quintero CJ, Alizai H, Mais DD, Kist KA, Dornbluth NC, 2018. Idiopathic granulomatous mastitis: Manifestations at multimodality imaging and pitfalls. Radiographics 38: 330–356.
Dixon JM, Khan LR, 2011. Treatment of breast infection. BMJ 342: d396.
Costa Morais Oliveira V, Cubas-Vega N, López Del-Tejo P, Baía-da-Silva DC, Araújo Tavares M, Picinin Safe I, Cordeiro-Santos M, Lacerda MVG, Val F, 2021. Non-lactational infectious mastitis in the Americas: A systematic review. Front Med (Lausanne) 8: 672513.
Russell SP, Neary C, Abd Elwahab S, Powell J, O’Connell N, Power L, Tormey S, Merrigan BA, Lowery AJ, 2020. Breast infections – Microbiology and treatment in an era of antibiotic resistance. Surgeon 18: 1–7.
Ramakrishnan R, Trichur RV, Murugesan S, Cattamanchi S, 2017. Analysis of the microbial flora in breast abscess: A retrospective cohort study conducted in the emergency department. Int Surg J 4: 2143–2147.
Teixeira R, et al., 2019. Tuberculosis and malaria walk side by side in the Brazilian Amazon: An ecological approach. Trop Med Int Health 24: 1003–1010.
Hiremath BV, Subramaniam N, 2015. Primary breast tuberculosis: Diagnostic and therapeutic dilemmas. Breast Dis 35: 187–193.
Strazzanti A, Trovato C, Gangi S, Basile F, 2018. Breast tuberculosis cases rising in Sicily. Int J Surg Case Rep 53: 9–12.
Sanchez-Mino JI, Rodriguez AMO, Orozco LG, Mera BV, Yepez-Yerovi FE, Escalona-Rabaza M, 2018. Breast tuberculosis: A case report. Rev Peru Med Exp Salud Publica 35: 333–337.
Thimmappa D, Mallikarjuna MN, Vijayakumar A, 2015. Breast tuberculosis. Indian J Surg 77 (Suppl 3 ):1378–1384.
Contreras GA, Rodriguez JM, 2011. Mastitis: Comparative etiology and epidemiology. J Mammary Gland Biol Neoplasia 16: 339–356.
Kamal RM, Hamed ST, Salem DS, 2009. Classification of inflammatory breast disorders and step by step diagnosis. Breast J 15: 367–380.
Boakes E, Woods A, Johnson N, Kadoglou N, 2018. Breast infection: A review of diagnosis and management practices. Eur J Breast Health 14: 136–143.
Feroz W, Sheikh AMA, Mugada V, 2020. Tubercular mastitis mimicking as malignancy: A case report. Prague Med Rep 121: 267–276.
Silva BB, Santos LG, Costa PV, Pires CG, Borges AS, 2005. Primary tuberculosis of the breast mimicking carcinoma. Am J Trop Med Hyg 73: 975–976.
Calis H, Kilitci A, 2018. Granulomatous mastitis concurrence with breast cancer. Eur J Breast Health 14: 58–60.
Aghajanzadeh M, et al., 2015. Granulomatous mastitis: Presentations, diagnosis, treatment and outcome in 206 patients from the north of Iran. Breast 24: 456–460.
Bani-Hani KE, Yaghan RJ, Matalka II, Shatnawi NJ, 2004. Idiopathic granulomatous mastitis: Time to avoid unnecessary mastectomies. Breast J 10: 318–322.
Barreto DS, Sedgwick EL, Nagi CS, Benveniste AP, 2018. Granulomatous mastitis: Etiology, imaging, pathology, treatment, and clinical findings. Breast Cancer Res Treat 171: 527–534.
Grover H, Grover SB, Goyal P, Hegde R, Gupta S, Malhotra S, Li S, Gupta N, 2021. Clinical and imaging features of idiopathic granulomatous mastiti s – The diagnostic challenges and a brief review. Clin Imaging 69: 126–132.
Al-Khawari HA, Al-Manfouhi HA, Madda JP, Kovacs A, Sheikh M, Roberts O, 2011. Radiologic features of granulomatous mastitis. Breast J 17: 645–650.
Maione C, Palumbo VD, Maffongelli A, Damiano G, Buscemi S, Spinelli G, Fazzotta S, Gulotta E, Buscemi G, Lo Monte AI, 2019. Diagnostic techniques and multidisciplinary approach in idiopathic granulomatous mastitis: A revision of the literature. Acta Biomed 90: 11–15.
Andrade FEM, Heinzen RN, Pincerato KM, de Oliveira FA, Docema MF, Saccarelli CR, de Barros ACSD, 2017. Idiophatic granulomatous mastitis: Diagnosis and follow-up with magnetic resonance imaging. Mastology 27: 253–257.
Can FK, Guven F, Karadeniz E, 2021. Granulomatous mastitis. Rev Soc Bras Med Trop 54: e0452.
Ramírez PT, López PA, Arancibia HP, Sáez TC, Díaz CL, Taub ET, Moyano SL, 2015. Mastitis granulomatosa idiopática: 10 años de experiencia en el Centro de Imagenología del Hospital Clínico de la Universidad de Chile. J Rev Chil Obstet Ginecol 80: 111–118.
Mohammed S, Statz A, Lacross JS, Lassinger BK, Contreras A, Gutierrez C, Bonefas E, Liscum KR, Silberfein EJ, 2013. Granulomatous mastitis: A 10 year experience from a large inner city county hospital. J Surg Res 184: 299–303.
Co M, Cheng VCC, Wei J, Wong SCY, Chan SMS, Shek T, Kwong A, 2018. Idiopathic granulomatous mastitis: A 10-year study from a multicentre clinical database. Pathology 50: 742–747.
Darre T, Tchaou M, N’Timon B, Patassi AA, Aboubakari A, Sonhaye L, Bassowa A, Amegbor K, Napo-Koura G, 2017. Tuberculosis of the breast in Togo: A series of 28 presumed cases. Bull Soc Pathol Exot 110: 238–241.
Marinopoulos S, Lourantou D, Gatzionis T, Dimitrakakis C, Papaspyrou I, Antsaklis A, 2012. Breast tuberculosis: Diagnosis, management and treatment. Int J Surg Case Rep 3: 548–550.
Chandanwale S, Naragude P, Shetty A, Sawadkar M, Raj A, Bhide A, Singh M, 2020. Cytomorphological spectrum of granulomatous mastitis: A study of 33 cases. Eur J Breast Health 16: 146–151.
Cohen C, 1977. Tuberculous mastitis. A review of 34 cases. S Afr Med J 52: 12–14.
Bani-Hani KE, Yaghan RJ, Matalka II, Mazahreh TS, 2005. Tuberculous mastitis: A disease not to be forgotten. Int J Tuberc Lung Dis 9: 920–925.
Joseph KA, Luu X, Mor A, 2014. Granulomatous mastitis: A New York public hospital experience. Ann Surg Oncol 21: 4159–4163.
Past two years | Past Year | Past 30 Days | |
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Chronic mastitis varies in etiology between its lactational and nonlactational forms and can be challenging to diagnose. This study aimed to assess the epidemiological profile and diverse etiologies of nonlactational mastitis in Amazonas, Brazil, focusing on distinguishing between tuberculous mastitis (TM) and idiopathic granulomatous mastitis (IGM). This is a retrospective and prospective study that was carried out at the mastitis outpatient clinic of Fundação de Medicina Tropical Doutor Heitor Vieira Dourado from 2013 to 2021 and evaluated epidemiological data, imaging, and laboratory tests. Descriptive statistics were performed. In this retrospective and prospective analysis, 124 medical records were initially considered, with 12 excluded for various reasons. The remaining 112 cases underwent thorough evaluation through epidemiological data, imaging, and laboratory tests, by employing descriptive statistics for analysis. The pathology revealed a predominant prevalence of IGM (64.3%), followed by various forms of mastitis, including confirmed TM (4.5%), presumable TM (8.9%), and others. Our findings indicate that IGM, though a rare cause of breast masses and abscesses, accounts for a significant portion of mastitis cases. Histopathological studies were essential for diagnosis, with ultrasound being the primary imaging tool. This study is one of the largest Brazilian series on nonlactational mastitis, highlighting the condition’s complexity and diverse manifestations in the Amazon region.
Financial support: This study received no financial support.
Disclosure: The Research Ethics Committee of Universidade Federal do Amazonas approved the study (CPEA 20093719.8.0000.5020).
Current contact information: Michel de Araujo Tavares, Programa de Pós-Graduação em Tocoginecologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, Brazil, and Faculdade de Medicina, Universidade Federal do Amazonas, Manaus, Brazil, E-mail: micheltavares@hotmail.com. Marcelo Cordeiro dos Santos, Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil, and Universidade do Estado do Amazonas, Manaus, Brazil, E-mail: marcelocordeiro.br@gmail.com. Vinicius da Silva Monteiro, Simone Ferreira de Castro Botileiro, Victor Costa Morais Oliveira, and Marcus Vinícius Guimarães de Lacerda, Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil, E-mails: infecto.viniciusmonteiro@gmail.com, simone.botileiro@mntb.org.br, victoliveira@hotmail.com, and marcuslacerda.br@gmail.com. Ryan Antônio de Lucena Almeida and Hilka Flávia Barra do Espirito Santos Alves Pereira, Faculdade de Medicina, Universidade Federal do Amazonas, Manaus, Brazil, E-mails: ryantonioalmeida@hotmail.com and hilkaespiritosanto@icloud.com. René Aloisio da Costa Vieira, Programa de Pós-Graduação em Tocoginecologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, Brazil, E-mail: reneacv@gmail.com.
Nair CG, Hiran, Jacob P, Menon RR, Misha, 2015. Inflammatory diseases of the non-lactating female breasts. Int J Surg 13: 8–11.
Pluguez-Turull CW, Nanyes JE, Quintero CJ, Alizai H, Mais DD, Kist KA, Dornbluth NC, 2018. Idiopathic granulomatous mastitis: Manifestations at multimodality imaging and pitfalls. Radiographics 38: 330–356.
Dixon JM, Khan LR, 2011. Treatment of breast infection. BMJ 342: d396.
Costa Morais Oliveira V, Cubas-Vega N, López Del-Tejo P, Baía-da-Silva DC, Araújo Tavares M, Picinin Safe I, Cordeiro-Santos M, Lacerda MVG, Val F, 2021. Non-lactational infectious mastitis in the Americas: A systematic review. Front Med (Lausanne) 8: 672513.
Russell SP, Neary C, Abd Elwahab S, Powell J, O’Connell N, Power L, Tormey S, Merrigan BA, Lowery AJ, 2020. Breast infections – Microbiology and treatment in an era of antibiotic resistance. Surgeon 18: 1–7.
Ramakrishnan R, Trichur RV, Murugesan S, Cattamanchi S, 2017. Analysis of the microbial flora in breast abscess: A retrospective cohort study conducted in the emergency department. Int Surg J 4: 2143–2147.
Teixeira R, et al., 2019. Tuberculosis and malaria walk side by side in the Brazilian Amazon: An ecological approach. Trop Med Int Health 24: 1003–1010.
Hiremath BV, Subramaniam N, 2015. Primary breast tuberculosis: Diagnostic and therapeutic dilemmas. Breast Dis 35: 187–193.
Strazzanti A, Trovato C, Gangi S, Basile F, 2018. Breast tuberculosis cases rising in Sicily. Int J Surg Case Rep 53: 9–12.
Sanchez-Mino JI, Rodriguez AMO, Orozco LG, Mera BV, Yepez-Yerovi FE, Escalona-Rabaza M, 2018. Breast tuberculosis: A case report. Rev Peru Med Exp Salud Publica 35: 333–337.
Thimmappa D, Mallikarjuna MN, Vijayakumar A, 2015. Breast tuberculosis. Indian J Surg 77 (Suppl 3 ):1378–1384.
Contreras GA, Rodriguez JM, 2011. Mastitis: Comparative etiology and epidemiology. J Mammary Gland Biol Neoplasia 16: 339–356.
Kamal RM, Hamed ST, Salem DS, 2009. Classification of inflammatory breast disorders and step by step diagnosis. Breast J 15: 367–380.
Boakes E, Woods A, Johnson N, Kadoglou N, 2018. Breast infection: A review of diagnosis and management practices. Eur J Breast Health 14: 136–143.
Feroz W, Sheikh AMA, Mugada V, 2020. Tubercular mastitis mimicking as malignancy: A case report. Prague Med Rep 121: 267–276.
Silva BB, Santos LG, Costa PV, Pires CG, Borges AS, 2005. Primary tuberculosis of the breast mimicking carcinoma. Am J Trop Med Hyg 73: 975–976.
Calis H, Kilitci A, 2018. Granulomatous mastitis concurrence with breast cancer. Eur J Breast Health 14: 58–60.
Aghajanzadeh M, et al., 2015. Granulomatous mastitis: Presentations, diagnosis, treatment and outcome in 206 patients from the north of Iran. Breast 24: 456–460.
Bani-Hani KE, Yaghan RJ, Matalka II, Shatnawi NJ, 2004. Idiopathic granulomatous mastitis: Time to avoid unnecessary mastectomies. Breast J 10: 318–322.
Barreto DS, Sedgwick EL, Nagi CS, Benveniste AP, 2018. Granulomatous mastitis: Etiology, imaging, pathology, treatment, and clinical findings. Breast Cancer Res Treat 171: 527–534.
Grover H, Grover SB, Goyal P, Hegde R, Gupta S, Malhotra S, Li S, Gupta N, 2021. Clinical and imaging features of idiopathic granulomatous mastiti s – The diagnostic challenges and a brief review. Clin Imaging 69: 126–132.
Al-Khawari HA, Al-Manfouhi HA, Madda JP, Kovacs A, Sheikh M, Roberts O, 2011. Radiologic features of granulomatous mastitis. Breast J 17: 645–650.
Maione C, Palumbo VD, Maffongelli A, Damiano G, Buscemi S, Spinelli G, Fazzotta S, Gulotta E, Buscemi G, Lo Monte AI, 2019. Diagnostic techniques and multidisciplinary approach in idiopathic granulomatous mastitis: A revision of the literature. Acta Biomed 90: 11–15.
Andrade FEM, Heinzen RN, Pincerato KM, de Oliveira FA, Docema MF, Saccarelli CR, de Barros ACSD, 2017. Idiophatic granulomatous mastitis: Diagnosis and follow-up with magnetic resonance imaging. Mastology 27: 253–257.
Can FK, Guven F, Karadeniz E, 2021. Granulomatous mastitis. Rev Soc Bras Med Trop 54: e0452.
Ramírez PT, López PA, Arancibia HP, Sáez TC, Díaz CL, Taub ET, Moyano SL, 2015. Mastitis granulomatosa idiopática: 10 años de experiencia en el Centro de Imagenología del Hospital Clínico de la Universidad de Chile. J Rev Chil Obstet Ginecol 80: 111–118.
Mohammed S, Statz A, Lacross JS, Lassinger BK, Contreras A, Gutierrez C, Bonefas E, Liscum KR, Silberfein EJ, 2013. Granulomatous mastitis: A 10 year experience from a large inner city county hospital. J Surg Res 184: 299–303.
Co M, Cheng VCC, Wei J, Wong SCY, Chan SMS, Shek T, Kwong A, 2018. Idiopathic granulomatous mastitis: A 10-year study from a multicentre clinical database. Pathology 50: 742–747.
Darre T, Tchaou M, N’Timon B, Patassi AA, Aboubakari A, Sonhaye L, Bassowa A, Amegbor K, Napo-Koura G, 2017. Tuberculosis of the breast in Togo: A series of 28 presumed cases. Bull Soc Pathol Exot 110: 238–241.
Marinopoulos S, Lourantou D, Gatzionis T, Dimitrakakis C, Papaspyrou I, Antsaklis A, 2012. Breast tuberculosis: Diagnosis, management and treatment. Int J Surg Case Rep 3: 548–550.
Chandanwale S, Naragude P, Shetty A, Sawadkar M, Raj A, Bhide A, Singh M, 2020. Cytomorphological spectrum of granulomatous mastitis: A study of 33 cases. Eur J Breast Health 16: 146–151.
Cohen C, 1977. Tuberculous mastitis. A review of 34 cases. S Afr Med J 52: 12–14.
Bani-Hani KE, Yaghan RJ, Matalka II, Mazahreh TS, 2005. Tuberculous mastitis: A disease not to be forgotten. Int J Tuberc Lung Dis 9: 920–925.
Joseph KA, Luu X, Mor A, 2014. Granulomatous mastitis: A New York public hospital experience. Ann Surg Oncol 21: 4159–4163.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1016 | 1016 | 61 |
Full Text Views | 47 | 47 | 7 |
PDF Downloads | 52 | 52 | 8 |