{"id":80,"date":"2021-04-27T11:07:30","date_gmt":"2021-04-27T08:07:30","guid":{"rendered":"http:\/\/www.hasanedizsikar.com\/?p=80"},"modified":"2023-09-28T13:21:36","modified_gmt":"2023-09-28T10:21:36","slug":"granulomatous-mastitis","status":"publish","type":"post","link":"https:\/\/www.hasanedizsikar.com\/en\/granulomatous-mastitis\/","title":{"rendered":"Granulomatous Mastitis"},"content":{"rendered":"<p>This disease, first described in 1972, is characterized by recurrent and persistent inflammation of the breast. Since it is the result of the body&#8217;s reaction to its own tissues, the Turkish name &#8220;Breast Rheumatism&#8221; makes it more understandable.<\/p>\n<ul>\n<li>The appearance of the disease generally coincides with the middle of the childbearing age (30-35 years) in women of childbearing age (20-45 years).<\/li>\n<li>It usually occurs in one breast, but less frequently in the other breast.<\/li>\n<li>Most patients have an abscess, but it is usually not possible to drain it<\/li>\n<li>The breast is usually red and tender with one or more punctures if the abscess has drained spontaneously.<\/li>\n<li>In some patients, there is only a tender mass and symptoms such as redness and abscess may not develop at all.<\/li>\n<li>Most of the time, patients are initially treated with antibiotics, but they either do not benefit or relapse, even if there is little regression.<\/li>\n<li>Very rarely, tuberculosis (tuberculosis) is confused with breast inflammation and for this reason, a tuberculosis test is definitely performed before treatment.<\/li>\n<li>Diagnosis is important because it can be confused with breast cancer.<\/li>\n<li>Although imaging methods such as ultrasound-MR give an idea, the disease is diagnosed by needle biopsy.<\/li>\n<li>After the diagnosis is made by needle biopsy, the first option for treatment is cortisol.<\/li>\n<li>In our long-term studies, cream treatment is used as the first option, and oral treatment comes to the fore in patients with insufficient efficacy.<\/li>\n<li>The frequency of recurrence after treatment is high (1 in every 5 patients), but cortisol treatment with cream-pill options is still the first option in recurrent patients.<\/li>\n<li>In case of stubborn disease, immunosuppressive therapies are the next step.<\/li>\n<li>Surgery is the option that should be used in patients with very limited disease or in patients who do not respond to any drug treatment.<\/li>\n<li>In a patient with granulomatous mastitis, the amount of tissue removed by surgery is close to the entire breast, so serious consideration should be given before deciding on surgery.<\/li>\n<li>In stubborn cases, in patients who prefer surgery, the option of completely evacuating the breast and reconstructing it with a prosthesis usually gives better results.<\/li>\n<li>Experience comes to the forefront in the treatment of the disease and since it requires long-term follow-up, it is generally appropriate to be followed up by doctors who have intensively applied such treatments.<\/li>\n<li>With the experience I have gained after the treatment and follow-up of around 300 patients, I would like to say that the disease is not incurable, especially with the correct use of treatment options, it is possible to get rid of the disease in all patients.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>This disease, first described in 1972, is characterized by recurrent and persistent inflammation of the breast. Since it is the result of the body&#8217;s reaction to its own tissues, the Turkish name &#8220;Breast Rheumatism&#8221; makes it more understandable. The appearance of the disease generally coincides with the middle of the childbearing age (30-35 years) in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":81,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-80","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-specialist"],"_links":{"self":[{"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/posts\/80","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/comments?post=80"}],"version-history":[{"count":2,"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/posts\/80\/revisions"}],"predecessor-version":[{"id":139,"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/posts\/80\/revisions\/139"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/media\/81"}],"wp:attachment":[{"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/media?parent=80"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/categories?post=80"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hasanedizsikar.com\/en\/wp-json\/wp\/v2\/tags?post=80"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}