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| LETTER TO EDITOR |
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| Year : 2016 | Volume
: 6
| Issue : 4 | Page : 240 |
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Granulomatous lobular mastitis
Vipul Yagnik
Consultant Endoscopic and Laparoscopic Surgeon, Ronak Endo-laparoscopy and General Surgical Hospital, Patan, Gujarat, India
| Date of Web Publication | 8-Dec-2017 |
Correspondence Address:
Vipul Yagnik
Consultant Endoscopic and Laparoscopic Surgeon, Ronak Endo-laparoscopy and General Surgical Hospital, Patan, Gujarat
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ais.ais_2_17
How to cite this article:
Yagnik V. Granulomatous lobular mastitis. Arch Int Surg 2016;6:240 |
Sir,
I read an article entitled “Chronic granulomatous mastitis: A therapeutic dilemma revisited”[1] with interest. I would like to congratulate the authors for their effort in writing the topic concisely. However, I would like to add few more information regarding this entity, which you may find useful.
Granulomatous mastitis involving breast tissue is uncommon. Non-necrotising granulomatous inflammation, that is idiopathic, is referred to as granulomatous lobular mastitis.[2] The etiology of granulomatous lobular mastitis is unknown, although infection with Corynebacterium is implicated in some series.[2] In addition to staining for acid fast bacilli and culturing for aerobic and anaerobic bacteria, special stain for fungal organisms helps to rule out Nocardia as a cause of granulomatous mastitis.[3] Ogura et al.[4] offer new insight in to the nature of granulomatous lobular mastitis. They found that granulomatous lobular mastitis showed specific clinicopathologic features such as lobulocentric inflammation with giant cells, diffuse immunoglobulin G4+, and high level of serum IgG4. They concluded that granulomatous lobular mastitis can be either IgG4 related or not related. Further, it could help to avoid over treatment.[4]
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Kshirsagar VV, Male PV, Bendre M, Chavan S, Rathod S. Chronic granulomatous mastitis: A therapeutic dilemma revisited. Arch Int Surg 2016;6:100-4.  [Full text] |
| 2. | Timothy M, Alfonso D. Inflammatory, reactive and infective condition of the breast. In: Shin SJ, editor. Comprehensive guide to core needle biopsies of the breast. Switzerland: Springer; 2016. pp. 135-60. |
| 3. | Sabel MS. Infectious and inflammatory disease of the breast. In: Sabel MS, editor. Essential of breast surgery. Philadelphia: Mosby Elsevier; 2009. pp. 83-90. |
| 4. | Ogura K, Matsumoto T, Aoki Y, Kitabatake T, Fujisawa M, Kojima K. IgG4 related tumor forming mastitis with histological appearance of granulomatous lobular mastitis: Comparison with other form of mastitis. Histopathology 2010;57:39-45. [ PUBMED] |
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