title: Granulomatous mastitis in pregnancy.
abstract: BACKGROUND
  Granulomatous mastitis, a rare, benign breast condition characterized by granulomas and abscess formation, is mistaken frequently for inflammatory breast carcinoma. Although it has been reported in reproductive-age women, it is unusual in pregnancy.
  
  
  METHODS
  A 25-year-old black gravida 4 para 2 developed a tender, indurated 20 x 15 x 15 cm multilobulated breast mass at 17 weeks' gestation. After not responding to antibiotics and incisional drainage, the biopsy-proved granulomatous mastitis improved with corticosteroid treatment. A postpartum recurrence also responded to steroid therapy.
  
  
  CONCLUSIONS
  Granulomatous mastitis is diagnosed clinically and histologically. Early recognition and initiation of steroid treatment might prevent repetitive, deforming breast biopsies.
authors.affiliation: Department of Obstetrics and Gynecology, Jefferson Medical College, Philadelphia, Pennsylvania, USA.
authors.forename: J
authors.initials: J
authors.lastname: Goldberg
authors.forename: L
authors.initials: L
authors.lastname: Baute
authors.forename: L
authors.initials: L
authors.lastname: Storey
authors.forename: P
authors.initials: P
authors.lastname: Park
mesh_terms: D000328:Adult; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006099:Granuloma / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008413:Mastitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D011241:Prednisone / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*
chemical_list: D005938:Glucocorticoids; D011241:Prednisone