Granulomatous Mastitis: Imaging of Temporal Evolution

Aim. To assess the temporal imaging evolution of granulomatous mastitis and to review imaging findings. Material and Methods. Retrospective review of imaging data of 10 patients with biopsy proven granulomatous mastitis. The patients were divided into 3 groups according to their initial imaging pres...

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Main Authors: Ahmed Bilal, Fahad Badar Albadar, Nauman Bashir Barlas
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2016/3737528
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author Ahmed Bilal
Fahad Badar Albadar
Nauman Bashir Barlas
author_facet Ahmed Bilal
Fahad Badar Albadar
Nauman Bashir Barlas
author_sort Ahmed Bilal
collection DOAJ
description Aim. To assess the temporal imaging evolution of granulomatous mastitis and to review imaging findings. Material and Methods. Retrospective review of imaging data of 10 patients with biopsy proven granulomatous mastitis. The patients were divided into 3 groups according to their initial imaging presentation. Temporal evolution of imaging findings was observed separately for each group. Ratios, proportions, and percentages were used for data analysis. Results. Upon initial presentation, 75% of women who underwent mammogram showed an area of mass like architectural distortion. 25% demonstrated focal asymmetry. Complex cystic lesion was seen 40%. Multiple abscesses with sinus tract formation tracking into surrounding tissues were seen in 2 cases. Four out of 10 patients presented as edematous changes. Three out of this group progressed to develop complex cystic lesions/abscess formation. 25% presenting with complex cystic lesions or abscess at presentation showed spontaneous resolution. The remainder needed surgical treatment. The patients with abscess formation and sinus tract formation needed surgical management. Conclusion. Initial imaging findings in granulomatous mastitis can be variable but the eventual course and outcome is similar in most patients with surgical management required in most cases.
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spelling doaj-art-e81bd9c1b41949a08218a68725ec0cc22025-02-03T06:14:13ZengWileyScientifica2090-908X2016-01-01201610.1155/2016/37375283737528Granulomatous Mastitis: Imaging of Temporal EvolutionAhmed Bilal0Fahad Badar Albadar1Nauman Bashir Barlas2Department of Medical Imaging, King Khalid University Hospital, Riyadh 61421, Saudi ArabiaDepartment of Medical Imaging, King Khalid University Hospital, Riyadh 61421, Saudi ArabiaNorthumbria HealthCare NHS Foundation Trust, Wansbeck General Hospital, Ashington NE63 9JJ, UKAim. To assess the temporal imaging evolution of granulomatous mastitis and to review imaging findings. Material and Methods. Retrospective review of imaging data of 10 patients with biopsy proven granulomatous mastitis. The patients were divided into 3 groups according to their initial imaging presentation. Temporal evolution of imaging findings was observed separately for each group. Ratios, proportions, and percentages were used for data analysis. Results. Upon initial presentation, 75% of women who underwent mammogram showed an area of mass like architectural distortion. 25% demonstrated focal asymmetry. Complex cystic lesion was seen 40%. Multiple abscesses with sinus tract formation tracking into surrounding tissues were seen in 2 cases. Four out of 10 patients presented as edematous changes. Three out of this group progressed to develop complex cystic lesions/abscess formation. 25% presenting with complex cystic lesions or abscess at presentation showed spontaneous resolution. The remainder needed surgical treatment. The patients with abscess formation and sinus tract formation needed surgical management. Conclusion. Initial imaging findings in granulomatous mastitis can be variable but the eventual course and outcome is similar in most patients with surgical management required in most cases.http://dx.doi.org/10.1155/2016/3737528
spellingShingle Ahmed Bilal
Fahad Badar Albadar
Nauman Bashir Barlas
Granulomatous Mastitis: Imaging of Temporal Evolution
Scientifica
title Granulomatous Mastitis: Imaging of Temporal Evolution
title_full Granulomatous Mastitis: Imaging of Temporal Evolution
title_fullStr Granulomatous Mastitis: Imaging of Temporal Evolution
title_full_unstemmed Granulomatous Mastitis: Imaging of Temporal Evolution
title_short Granulomatous Mastitis: Imaging of Temporal Evolution
title_sort granulomatous mastitis imaging of temporal evolution
url http://dx.doi.org/10.1155/2016/3737528
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AT fahadbadaralbadar granulomatousmastitisimagingoftemporalevolution
AT naumanbashirbarlas granulomatousmastitisimagingoftemporalevolution