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Purpose: Idiopathic granulomatous mastitis (IGM) is a rare chronic inflammatory disease of unknown etiology. The diagnosis of IGM requires that other granulomatous lesions in the breast be excluded. Tuberculous mastitis (TM) is also an uncommon disease that is often difficult to differentiate from IGM. The purpose of this study is to develop a new algorithm for the differential diagnosis and treatment of IGM and TM. Methods: Medical records of 68 patients (58 with IGM and 10 with TM) between July 1999 and February 2009 were retrospectively reviewed. Results: The mean age of the patients was 33.5 (IGM) and 40 (TM) years (p=0.018). The median follow-up was 84 months. Of the total 10 patients with TM, 5 patients had a history of pulmonary tuberculosis. The most common symptoms of the diseases were breast lump and pain. However, axillary lymphadenopathy was more seen in TM (50%) compared to IGM (20.6%) (p=0.048). TM showed more cancer-mimicking findings on radiologic study (p=0.028). In IGM, 48 patients (82.7%) underwent surgical wide excision and 21 patients (36.2%) were managed with corticosteroid therapy and antibiotics. All of the TM patients received antituberculosis medications and 9 patients (90%) underwent wide excision. The mean treatment duration was 2.8 months in IGM and 8.4 months in TM. Recurrence developed in 5 patients (8.6%) in IGM and 1 patient (10%) in TM. Conclusion: This study shows different characteristics between IGM and TM. The IGM patients were younger and had more mastalgia symptoms than the TM patients. Axillary lymphadenopathy was seen more often in TM patients. Half of the TM patients had pulmonary tuberculosis or tuberculosis lymphadenitis. Surgical wide excision might be both therapeutic and useful for providing an exact diagnosis.

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Surgical techniques for personalized oncoplastic surgery in breast cancer patients with small-to moderate-sized breasts. part1, Volume displacement Jung Dug Yang, Jeong Woo Lee, Young Kyoo Cho, Wan Wook Kim, Seung Ook Hwang, Jin Hyang Jung, Ho Yong Park pp.1-6

Surgical techniques for personalized oncoplastic surgery in breast cancer patients with small-to moderate-sized breasts. part2, Volume replacement Jung Dug Yang, Jeong Woo Lee, Young Kyoo Cho, Wan Wook Kim, Seung Ook Hwang, Jin Hyang Jung, Ho Yong Park pp.7-14

Aberrant expression of cancer stem cells marker prominin-1 in low-grade tubulobular breast carcinoma : a correlative study between qRT-PCR, flow-cytometric and immunohistochemistry analysis Maurizio Di Bonito, Francesca Collina, Monica Cantile, Rosalba Camerlingo, Margherita Cerrone, Laura Marra, Giuseppina Liguori, Giuseppe Pirozzi, Gerardo Botti pp.15-23

Multiplication of chromosome 17 centromere is associated with prognosis in patients with invasive breast cancers exhibiting normal HER2 and TOP2A status Aeri Kim, Hyung Chan Shin, Young Kyung Bae, Min Kyoung Kim, Su Hwan Kang, Soo Jung Lee, Eun Hee Lee pp.24-33

Circulating tumor cells detected by RT-PCR for CK-20 before surgery indicate worse prognostic impact in triple-negative and HER2 subtype breast cancer Seong Bae Hwang, Jeoung Won Bae, Hye Yoon Lee, Hoon Yub Kim pp.34-42

Use of the international classification of functioning, disability and health as a functional assessment tool for breast cancer survivors Eun Joo Yang, Bo-ram Kim, Hyung Ik Shin, Jae-young Lim pp.43-50

Estimating the risks and benefits of tamoxifen for prophylactic breast cancer chemoprevention in Korea Dong Uk Kim, Jun Won Min, You-Me Kim, Myung-Chul Chang pp.51-56

Imaging findings of invasive micropapillary carcinoma of the breast Se Un Yun, Bo Bae Choi, Kwang Sun Shu, Seong Min Kim, Young Duk Seo, Jin Sun Lee, Eil Sung Chang pp.57-64

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Impact of serum HER2 levels on survival and its correlation with clinicopathological parameters in women with breast cancer Dong Won Ryu, Chung Han Lee pp.71-78

Prognostic significance of high expression of ER-beta in surgically treated ER-positive breast cancer following endocrine therapy Tae-Jung Kim, Ahwon Lee, Yeong-Jin Choi, Byung Joo Song, Hyeon Woo Yim, Chang Suk Kang pp.79-86

Value of sentinel lymph node biopsy in breast cancer patients with previous excisional biopsy Gokhan Coskun, Lutfi Dogan, Niyazi Karaman, Cihangir Ozaslan, Can Atalay pp.87-90

The efficacy of arm node preserving surgery using axillary reverse mapping for preventing lymphedema in patients with breast cancer Jung Woo Han, Yu Jeong Seo, Jung Eun Choi, Su Hwan Kang, Young Kyung Bae, Soo Jung Lee pp.91-97

Long-term outcome of internal mammary lymph node detected by lymphoscintigraphy in early breast cancer Min Young Koo, Se Kyung Lee, Soo Youn Bae, Min-Young Choi, Dong Hui Cho, Sangmin Kim, Jeong Eon Lee, Seok Jin Nam, Jung-Hyun Yang pp.98-104

Dose-volume analysis of lung and heart according to respiration in breast cancer patients treated with breast conserving surgery Jae-Goo Shim, Jeong-Koo Kim, Won Park, Jeong-Min Seo, Chae-Sun Hong, Ki-Won Song, Cheong-Hwan Lim, Hong-Ryang Jung, Chan-Hyeong Kim pp.105-110

Differential diagnosis in idiopathic granulomatous mastitis and tuberculous mastitis Hee Ri Na Seo, Kuk Young Na, Hyun Ee Yim, Tae Hee Kim, Doo Kyoung Kang, Ki Keun Oh, Seok Yun Kang, Young-Sil An, Mison Chun, Woojae Kim … [et al.] pp.111-118

Medical and surgical treatment of idiopathic granulomatous lobular mastitis : a benign inflammatory disease mimicking invasive carcinoma Gunay Gurleyik, Ali Aktekin, Fugen Aker, Hikmet Karagulle, Abdullah Saglam pp.119-123

Primary leiomyosarcoma of the breast : a case report Zülfıkar Karabulut, Hampar Akkaya, Gökhan Moray pp.124-127

A case report of breast cancer with extensive pulmonary lymphovascular tumor emboli Yaewon Yang, Younak Choi, Seung Hoon Beom, Jin Won Kim, Yoon Kyung Joen, Nam-Joong Kim, Joo Hyun Kim, Seock-Ah Im, Kyung-Hun Lee pp.128-132

Chylous leakage : a rare complication after axillary lymph node dissection in breast cancer and surgical management Jong Min Baek, Jin A Lee, Yu Hee Nam, Gi Young Sung, Do Sang Lee, Jong Man Won pp.133-134

Intraductal lipid-rich carcinoma of the breast with a component of glycogen-rich carcinoma Yoshitaka Kurisu, Motomu Tsuji, Yuro Shibayama, Yuko Takahashi, Takehiro Nohara pp.135-138

참고문헌 (27건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Granulomatous mastitis: a lesion clinically simulating carcinoma. 네이버 미소장
2 Akcan A, Akyildiz H, Deneme MA, Akgun H, Aritas Y. Granulomatous lobular mastitis: a complex diagnostic and therapeutic problem. World J Surg 2006;30:1403-9. 미소장
3 Granulomatous mastitis: a report of seven cases. 네이버 미소장
4 Feasibility of Surgical Management in Patients with Granulomatous Mastitis 네이버 미소장
5 Elsiddig KE, Khalil EA, Elhag IA, Elsafi ME, Suleiman GM, Elkhidir IM, et al. Granulomatous mammary disease: ten years’ experience with fine needle aspiration cytology. Int J Tuberc Lung Dis 2003;7:365-9. 미소장
6 Granulomatous mastitis: mammographic and sonographic appearances. 네이버 미소장
7 Diagnosis and treatment of granulomatous mastitis. 네이버 미소장
8 Moore GE. Diagnosis and treatment of granulomatous mastitis. Br J Surg 1995;82:1002. 미소장
9 Ayeva-Derman M, Perrotin F, Lefrancq T, Roy F, Lansac J, Body G. Idiopathic granulomatous mastitis: review of the literature illustrated by 4 cases. J Gynecol Obstet Biol Reprod (Paris) 1999;28:800-7. 미소장
10 Belaabidia B, Essadki O, el Monsouri A, Squalli S. Idiopathic granulomatous mastitis: apropos of 8 cases and review of the literature. Gynecol Obstet Fertil 2002;30:383-9. 미소장
11 A clinicopthologic study of a rare clinical entity mimicking breast carcinoma: idiopathic granulomatous mastitis 네이버 미소장
12 The Role of Conservative Treatment in Idiopathic Granulomatous Mastitis 네이버 미소장
13 Idiopathic Granulomatous Mastitis: Case Report and Review of the Literature 네이버 미소장
14 Schelfout K, Tjalma WA, Cooremans ID, Coeman DC, Colpaert CG, Buytaert PM. Observations of an idiopathic granulomatous mastitis. Eur J Obstet Gynecol Peprod Biol 2001;97:260-2. 미소장
15 Granulomatous mastitis. 네이버 미소장
16 Idiopathic Granulomatous Mastitis: Time to Avoid Unnecessary Mastectomies 네이버 미소장
17 Diagnosis and treatment of granulomatous mastitis 네이버 미소장
18 Idiopathic granulomatous mastitis. A report of three cases and review of the literature. 네이버 미소장
19 Granulomatous mastitis: an uncommon cause of breast abscess. 네이버 미소장
20 Sakurai T, Oura S, Tanino H, Yoshimasu T, Kokawa Y, Kinoshita T, et al. A case of granulomatous mastitis mimicking breast carcinoma. Breast Cancer 2002;9:265-8. 미소장
21 The value of cytology in granulomatous mastitis: a report of 16 cases from Malaysia. 네이버 미소장
22 Granulomatous mastitis can mimic breast cancer on clinical, radiological or cytological examination: a cautionary tale 네이버 미소장
23 Cytology of Granulomatous Mastitis 네이버 미소장
24 Utility of fine‐needle aspiration in the diagnosis of granulomatous lesions of the breast 네이버 미소장
25 Granulomatous mastitis: a clinicopathological review of 26 cases 네이버 미소장
26 Idiopathic granulomatous mastitis masquerading as carcinoma of the breast: a case report and review of the literature. 네이버 미소장
27 Prednisone management of granulomatous mastitis. 네이버 미소장

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