Scoring Idiopathic Granulomatous Mastitis: An Effective System for Predicting Recurrence? Tonguç

Abstract

Objective: Idiopathic granulomatous mastitis is a breast disease without a definitive etiology. There are no definitive classifications, scoring systemsor certitudes. The aim of this study is to define the factors related to the recurrence and design a scoring system.Material and Methods: Patients who were admitted to the general surgery department with symptoms of granulomatous mastitis were evaluatedby ultrasonography and underwent antibiotic therapy. Granulomatous mastitis is diagnosed by core biopsy and treated with steroid therapy. Patientswithout improvement underwent surgery and were included in the study. In total, 53 patients were included in the study. There were 8 recurrentcases. Factors related with recurrences were defined.Results: Number of births over 2, duration of lactation more than 18 months, body mass index greater than 31, having fistula in physical examination,abscess collection in ultrasonographic examination, and luminal inflammation score over 2 were scored as 1. Severity score in recurrent caseswere 5.1±0.6 whereas 1.9±1.0 in nonrecurrent cases.Conclusion: Granulomatous mastitis score is a tool targeted at predicting the risk of recurrences. The patients with these factors are more pronefor recurrences.