DOI: 10.36347/sasjs.2018.v04i07.001

Pages: 121-126

To Observe the application of systemic steroid therapy in combination with wide local excision of the lesion in the treatment of idiopathic granulomatous mastitis (IGM) and to define an appropriate treatment strategy in such patient. Conducted a retrospectively observational study of a series of 24 cases in the Surgery Unit of A government Sadar Hospital and several private hospitals in same territory in Feni District, Chittagong, Bangladesh. Average follow-up was 36 months for all cases. 6 cases (25%) relapsed. 7 patients (29.16%) treated with abscess drainage along with systemic steroids, among them 4(57.14%) healed completely, but 42.85% relapsed. Relapses were treated with excision with steroids. Steroid therapy was the initial treatment in 5 cases (20.83%), with 2 relapse (40%) which was treated in the same manner. 3 patients had incomplete response necessitating excision, and another 2 developed abscesses which were treated with steroids or excision after drainage. Surgical excision was preferred in 12 cases (50%) and all of them were administered concomitant systemic steroid therapy. All healed without complication, and recurrence was observed in 1 case (8.3%) which was treated with re-excision. Excision along with steroid therapy had low relapse rates, and this combination was superior to only steroid therapy in providing strict diagnosis with much faster healing and fewer complications.