NepMed Repository :: Browsing by Author "Neupane, Thaneshor"

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Recurrent Idiopathic Granulomatous Mastitis: A Case Report
(Nepal Medical Association, 2024) Joshi, Janardan Prasad; Joshi, Lila; Joshi, Hira; Sah, Ashok Prasad; Neupane, Thaneshor
Abstract Idiopathic granulomatous mastitis is a rare benign breast disease of unknown aetiology mostly presenting as a breast abscess but not responding to usual conservative management with incision and drainage and frequently mimics breast cancer. We present a case 31-year-old female presented with complaints of right breast pain and redness who was initially diagnosed and treated as a case of breast abscess with repeated incision and drainage and antibiotics but did not improve. Later histopathology revealed granuloma with giant cell reaction and the patient was given a trial of steroids which showed no improvement. Wide local excision with a long course of broad-spectrum antibiotics was performed which led into remission. This case report highlights the importance of considering idiopathic granulomatous mastitis as differentials in non-responding breast abscesses. Histopathology for diagnosis and trial of wide local excision with a long course of broad-spectrum antibiotics as treatment may be done for management.