Treatment Protocol for Idiopathic Granulomatous Mastitis - an Approach to Settle an Unsettled Issue in Clinical Practice

Introduction ranulomatous diseases of the breast can result from a variety of causes like tuberculosis, sarcoidosis, fungal infections, Wegner’s granulomatosis. Granulomatous mastitis may occur as a complication of diabetes. Use of hormonal contraceptives, prolactin raising medications and hyperprolactaminemia has been implicated in pathogenesis or as predisposing factor. We consider the granulomatous mastitis as idiopathic (IGM) when there is non-caseating granulomatous disease of unknown aetiology. Treatment of secondary granulomatous disease depends upon its underlying cause, but treatment of IGM is non-specific. In this research study, the primary aim was to evaluation this scenario in our clinical setup and to establish a definite treatment protocol in our clinical practice using IGM scoring system.