chronic mastitis of right breast tabular list

Chronic mastitis of right breast tabular list full#
Chronic mastitis of right breast tabular list professional#

MOC is a custom-built 40-foot motorhome that is a doctor’s office on wheels. The case was conducted by the Medical Outreach Clinic (MOC) of McLaren Macomb Hospital. Contextualizing the health care attention provided to the reported patient The case coordination and its course were led by a team from an outreach clinic that provides health care service to underserved communities, in partnership with a multidisciplinary team from the Family Practice Residency Program in a community hospital, in the state of Michigan.īased on our experience, we aim to raise the red flags relevant to identifying contradictory findings in the course of diagnosis, and to also draw attention to potential adverse reactions during treatment.

This case report represents a valuable resource to foster more assertive clinical practice in managing patients with GM. There are no guidelines for the treatment of GM. GM presents as a heterogeneous disease with variable clinical presentations, and the diagnosis is made by exclusion. Granulomas are usually found around lobules and ducts of the breast in the absence of specific infection, trauma, or evidence of sarcoidosis. Postulated factors include infectious or autoimmune diseases, immunologic response to milk leakage from the breasts’ lobules, and reaction to oral contraceptives. GM constitutes 24% of all inflammatory breast diseases. It typically affects young women between 17 and 42 years of age within the reproductive and post-childbearing period. Granulomatous mastitis (GM) is an uncommon benign chronic inflammatory breast disease first described by Kessler and Wolloch in 1972 that can mimic inflammatory breast cancer and periductal mastitis. We report a case of granulomatous mastitis, an unusual presentation of breast disease. The lack of experience and evidence-based medicine contributed to the contradictory interpretation of the findings on GM's diagnosis.

Chronic mastitis of right breast tabular list professional#

We raised the manifold red flags in which the multiple professional chains recruited to care for this patient were concerning for advanced breast cancer. This patient’s case highlights the importance of integrated communication among front-line primary care and other health care professionals to reduce the risk of invasive procedures and avoid institutional costs. The surgical procedure, antibiotics, and corticosteroids resulted in a successful combination to secure the stable control of the symptoms and progression of this rare benign breast disease to date.

Chronic mastitis of right breast tabular list full#

Full incisional biopsy revealed cystic neutrophilic GM. However, this result was inconsistent with the degree of abnormality revealed by the mammogram (BI-RADS grade 5), ultrasound, and physical examination. Needle biopsy showed fibrohistiocytic and florid inflammatory reactions, with no evidence of invasive carcinoma. Physical examination revealed a nodular mass in the outer quadrants of the left breast without regional lymphadenopathy. She sought our services after being diagnosed with mastitis that was unsuccessfully treated. A similar presentation occurred 5 years before pregnancy when she had an episode of pain and swelling in the left breast, which resolved spontaneously. Case presentationĪ 41-year-old G1P1 Hispanic female immigrant from Central America presented with a rare breast disease, granulomatous mastitis. The case coordination and its course were led by a team from an outreach clinic that provides health care services to underserved communities in the state of Michigan.

Differential diagnosis became a critical element of her care. The patient’s history, physical examination, and needle biopsy flagged the patient’s findings as nonmalignant however, imaging studies indicated a tumor. This manuscript describes the management of a patient with GM, initially unsuccessfully treated outside our clinic under a diagnosis of mastitis. GM presents as a heterogeneous illness with variable clinical presentations, and its diagnosis is usually made by exclusion. Granulomatous mastitis (GM) is a rare benign chronic inflammatory breast disease.