Mastitis granulomatosa idiopática. Caso clínico y revisión literaria

Santiago Catalán Pellet; Gabriela Briones; Daniela Miravalle

doi:10.47196/rar.v32i3.488

Santiago Catalán Pellet Hospital Municipal Rubén Miravalle, Lincoln, Buenos Aires, Argentina
Gabriela Briones Consultorio particular, Lincoln, Buenos Aires, Argentina
Daniela Miravalle Hospital Municipal Rubén Miravalle, Lincoln, Buenos Aires, Argentina

DOI: https://doi.org/10.47196/rar.v32i3.488

Palabras clave: mastitis granulomatosa idiopática, inmunosupresores, metotrexato

Resumen

Se describe el caso clínico de una paciente con diagnóstico histológico de mastitis granulomatosa idiopática, enfermedad poco frecuente en la que se utilizan inmunosupresores como tratamiento descripto y puede confundirse con otras entidades atendidas en la especialidad. Se describe el caso y se realiza una revisión de la literatura.

Biografía del autor/a

Santiago Catalán Pellet, Hospital Municipal Rubén Miravalle, Lincoln, Buenos Aires, Argentina

Reumatología

Daniela Miravalle, Hospital Municipal Rubén Miravalle, Lincoln, Buenos Aires, Argentina

Anatomía Patológica

Citas

I. Janowsky EC, Kupper LK, Hulke BS. Meta-analyses of the relation between silicone breast implants and the risk of connective-tissue diseases. N Engl J Med 2000; 342:781-790.

II. Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. Am J Clin Pathol 1972; 58:642-6.

III. Ozmen V, Cantürk Z, Celik V, Güler N, Kapkaç M, Koyuncu A, Müslümanoğlu M, Utkan Z. Breast disease. Federation of Breast Diseases Society, Ankara: Güneş Medical Publishing 2012; 55-65

IV. Erozgen F, Ersoy Y. Corticosteroid treatment and timing of surgery in idiopathic granulamotus mastitis confusng with breast carcinoma. Breast Cancer Res Treat 2010; 123:447-452.

V. Uysal E, Soran A, Sezgin E; Granulomatous Mastitis Study Group. Factors related to recurrence of idiopathic granulomatous mastitis: what do we learn from a multicentre study? ANZ J Surg 2018; 88(6):635-639.

VI. Taylor GB, Paviour SD, Musaad S, Jones WO, Holland DJ. A clinical pathological review of 34 cases of inflammatory breast disease showing an association between corynebacteria infection and granulomatous mastitis. Pathology 2003 Apr; 35(2):109-19.

VII. Hovanessian-Larsen LJ, Peyvandi B, Klipfel N, Grant E, Iyengar G. Granulomatous lobular mastitis: imaging, diagnosis, and treatment. AJR Am J Roentgenol 2009; 193(2):574-58

VIII. Kıvılcım T, Altıntoprak F, Memiş B, et al. Role of bacteriological agents in idiopathic granulomatous mastitis: real or not? Eur J Breast Health 2018; 15(1):32-36.

IX. Co M, Cheng VCC, Wei J, et al. Idiopathic granulomatous mastitis: a 10-year study from a multicentre clinical database. Pathology 2018; 50(7):742-747.

X. Martínez-Ramos D, Simon-Monterde L, Suelves-Piqueres C, et al. Idiopathic granulomatous mastitis: A systematic review of 3060 patients. Breast J 2019; 25(6):1245-1250.

XI. Lei X, Chen K, Zhu L, Song E, Su F, Li S. Treatments for idiopathic granulomatous mastitis: systematic review and meta-analysis. Breastfeed Med 2017; 12(7):415-421

XII. Wilson JP, Massoll N, Marshall J, Foss RM, Copeland EM, Grobmyer SR. Idiopathic granulomatous mastitis: in search of a therapeutic paradigm. Am Surg 2007; 73(8):798-802.

XIII. Kuba S, Yamaguchi J, Ohtani H, Shimokawa I, Maeda S, Kanematsu T. Vacuum-assisted biopsy and steroid therapy for granulomatous lobular mastitis: report of three cases. Surg Today 2009;39(8):695-699.

XIV. Postolova A, Troxell ML, Wapnir IL, Genovese MC. Methotrexate in the treatment of idiopathic granulomatous mastitis. J Rheumatol 2020; 47(6):924-927.

XV. Akbulut S, Yilmaz D, Bakir S. Methotrexate in the management of idiopathic granulomatous mastitis: review of 108 published cases and report of four cases. Breast J 2011; 17(6):661-668.

XVI. Kaviani A, Vasigh M, Omranipour R, et al. Idiopathic granulomatous mastitis: Looking for the most effective therapy with the least side effects according to the severity of the disease in 374 patients in Iran. Breast J 2019; 25(4):672-677.

XVII. Kehribar DY, Duran TI, Polat AK, Ozgen M. Effectiveness of methotrexate in idiopathic granulomatous mastitis treatment (published online ahead of print, 2020 May 29). Am J Med Sci 2020; 360(5):560-565.

XVIII. Xia Di F, Ly A, Smith GP. Mycophenolate mofetil as a successful therapy for idiopathic granulomatous mastitis. Dermatol Online J 2017; 23(7):13030.

XIX. Martínez-Ramos D, Simon-Monterde L, Suelves-Piqueres C, Queralt-Martin R, Granel-Villach L, Laguna-Sastre JM, Nicolau MJ, Escrig-Sos J. Idiopathic granulomatous mastitis: A systematic review of 3060 patients. Breast J 2019 Nov; 25(6):1245-1250.

XX. Yagcı B, Erdem Toslak I, Çekiç B, Öz M, Karakas BR, Ak-demir M, Yıldız S, Süren D, Bova D. Differentiation between idiopathic granulomatous mastitis and malignant breast lesions using strain ratio on ultrasonic elastography. Diagn Interv Imaging 2017 Oct; 98(10):685-691.