title: Granulomatous Mastitis: A Ten-Year Experience at a University Hospital.
abstract: OBJECTIVE
  In this study we aimed to define clinical, radiologic and pathological specialties of patients who applied to General Surgery Department of Atatürk University Medical Faculty with granulomatous mastitis and show medical and surgical treatment results. With the help of this study we will be able to make our own clinical algorithm for diagnosis and treatment.
  
  
  METHODS
  We searched retrospectively addresses, phone numbers and clinical files of 93 patients whom diagnosed granulomatous mastitis between a decade of January 2001 - December 2010. We noted demographic specialties, ages, gender, medical family history, main complaints, physical findings, radiological and laboratory findings, medical treatments, postoperative complications and surgical procedures if they were operated; morbidity, recurrence and success ratios, complications after treatment for patients discussed above.
  
  
  RESULTS
  In this study we evaluated 93 patients, 91 females and 2 males, with granulomatous mastitis retrospectively who applied to General Surgery Department of Atatürk University Medical Faculty between January 2001 and December 2010. Mean age was 34.4 years. The diagnosis was confirmed by histopathologic examination of the lesions. Seventy three patients had idiopathic granulomatous lobular mastitis and 20 patients had specific granulomatous mastitis IGM (18 tuberculosis mastitis, 1 alveolar echinococcosis and 1 silk reaction). All the patients had surgical debridement or antibiotic, and anti-inflammatory treatment with results bad clinical response before applied our clinic.
  
  
  CONCLUSIONS
  Empiric antibiotic therapy and drainage of the breast lesions are not enough for complete remission of idiopathic granulomatous mastitis. The lesion must be excised completely. In selected patients, corticosteroid therapy can be useful. In the patients with tuberculous mastitis, abscess drainage and antituberculous therapy can be useful, but wide excision must be chosen for the patients with recurrent disease.
authors.affiliation: Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Korkut
authors.affiliation: Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Mufide Nuran
authors.initials: MN
authors.lastname: Akcay
authors.affiliation: Department of General Surgery, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Erdem
authors.initials: E
authors.lastname: Karadeniz
authors.affiliation: Department of Radiology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Irmak Durur
authors.initials: ID
authors.lastname: Subasi
authors.affiliation: Department of Pathology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
authors.forename: Nesrin
authors.initials: N
authors.lastname: Gursan
keywords: Mastitis; granulomatous mastitis; tuberculosis mastitis