Granülomatöz Mastitte Cerrahi Tedavi ve İntraoperatif Lokal Steroid Uygulamasının Sonuçlarının Değerlendirilmesi

Öz

Granülomatöz mastit, memenin nadir görülen benign inflamatuar hastalıklarından biridir. Granülomatöz mastit etyolojisi tam olarak bilinmese de bulgular ve görünüm nedeniyle meme kanseri ile karışabilmektedir. Bunun yanında inflamasyonla seyreden bu hastalık tedavi edilmez ise tekrarlayan enfeksiyonlara ve oldukça büyük doku kaybına neden olmaktadır. Bu nedenle tanı konulması ve erken tedavi edilmesi oldukça önemlidir. Biz de çalışmamızda granülomatöz mastitli hastaların tedavisinde cerrahi rezeksiyon sonrası intraoperatif lokal steroid uygulamasının sonuçlarını göstermeyi amaçladık. Çalışmamızda granülomatöz mastit tanısı almış ve cerrahi tedavi ile intraoperatif lokal steroid uygulanmış 39 olgunun hastane kayıtları ve dosyaları retrospektif olarak incelendi. Olguların yaş, cinsiyet, radyolojik ve laboratuvar bulguları, cerrahi yöntemleri, cerrahi sonrası nüks oranları ve histopatolojik özellikleri not edildi. Başarı oranları araştırıldı ve rezeksiyon sonrasında verilen intratekal steroid tedavisinin nüksü azalttığı gözlendi. Bunun sonucunda granülomatöz mastitlerin kesin tedavisi için cerrahi olarak geniş veya total eksizyon ile intraoperatif lokal steroid uygulaması en uygun tedavi olacağı kanaatine varılmıştır. Nadir olgularda apse drenajı ile antibiyotik tedavisi etkin olmakla beraber, kronikleşen ve komplike olmuş vakalarda cerrahi tedavi tercih edilmelidir.

Anahtar Kelimeler

• İdiopatik
• granülomatöz mastit
• steroid

Evaluation of Surgical Treatment and Intraoperative Local Steroid Application Outcomes in Granulomatous Mastitis

Öz

Granulomatous mastitis is a rare benign inflammatory disease of the breast. Although the etiology of granulomatous mastitis is not known exactly, it can be confused with breast cancer due to its findings and appearance. In addition, this disease, which is characterised by inflammation, causes recurrent infections and considerable tissue loss if left untreated. Therefore, diagnosis and early treatment are very important. In our study, we aimed to show the results of intraoperative local steroid administration after surgical resection in the treatment of patients with granulomatous mastitis. In our study, the hospital records and files of 39 patients diagnosed with granulomatous mastitis and treated with surgical treatment and intraoperative local steroid administration were retrospectively analysed. Age, gender, radiological and laboratory findings, surgical methods, postoperative recurrence rates and histopathological features were noted. Success rates were investigated and it was observed that intrathecal steroid treatment given after resection decreased recurrence. As a result, it was concluded that surgical wide or total excision and intraoperative local steroid administration would be the most appropriate treatment for the definitive treatment of granulomatous mastitis. Although abscess drainage and antibiotic treatment is effective in rare cases, surgical treatment should be preferred in chronic and complicated cases.

Anahtar Kelimeler

• Idiopathic
• granulomatous mastitis
• steroid

Kaynakça

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