The Role of Radiology in Mastit Treatment and Follow-up and Therapeutic Interventional Methods
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Invited Review
P: 270-277
December 2023

The Role of Radiology in Mastit Treatment and Follow-up and Therapeutic Interventional Methods

Trd Sem 2023;11(3):270-277
1. Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Sakarya, Türkiye
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Received Date: 23.08.2023
Accepted Date: 13.10.2023
Publish Date: 21.12.2023
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ABSTRACT

Mastitis is a benign inflammatory breast disease that can mimic breast carcinoma clinically and radiologically and has a tendency to recur. The aim of radiology is to characterize the inflammatory state with imaging methods and, if necessary, percutaneous interventional procedures and to contribute to treatment with therapeutic interventional methods. The first thing to do is to distinguish between malignant and non-malignant inflammation. Therefore, pathological confirmation is often required. Fine needle aspiration biopsy, core biopsy, and vacuum-assisted biopsy can be performed for histopathological diagnosis. Along with medical treatment, the use of drainage methods and intralesional steroid injections depending on the condition of the lesion and the patient can accelerate the recovery period and reduce the recurrence. Response to treatment should be monitored by ultrasonography. Follow-up with magnetic resonance imaging is required in patients who are diffuse, aggressive, and unresponsive to treatment.

Keywords:
Mastitis, inflammatory breast cancer, steroid injection, drainage therapy

References

1
Bouic-Pagès E, Perrochia H, Millet I, Taourel P. Percutaneous biopsies: indications and techniques. Diagn Interv Imaging 2012; 93: 116-25.
2
Lepori D. Inflammatory breast disease: the radiologist’s role. Diagn Interv Imaging 2015; 96: 1045-64.
3
Durur-Subasi I. Diagnostic and interventional radiology in idiopathic granulomatous mastitis. Eurasian J Med 2019; 51: 293-7.
4
Illman JE, Terra SB, Clapp AJ, Hunt KN, Fazzio RT, Shah SS, et al. Granulomatous diseases of the breast and axilla: radiological findings with pathological correlation. Insights Imaging 2018; 9: 59-71.
5
Pluguez-Turull CW, Nanyes JE, Quintero CJ, Alizai H, Mais DD, Kist KA, et al. Idiopathic granulomatous mastitis: manifestations at multimodality imaging and pitfalls. Radiographics 2018; 38: 330-56.
6
Williams MS, McClintock AH, Bourassa L, Laya MB. Treatment of granulomatous mastitis: is there a role for antibiotics? Eur J Breast Health 2021; 17: 239-46.
7
Guo R, Lu G, Qin B, Fei B. Ultrasound imaging technologies for breast cancer detection and management: a review. Ultrasound Med Biol 2018; 44: 37-70.
8
Delle Chiaie L, Terinde R. Three-dimensional ultrasound-validated large-core needle biopsy: is it a reliable method for the histological assessment of breast lesions? Ultrasound Obstet Gynecol 2004; 23: 393-7.
9
Aghajanzadeh M, Hassanzadeh R, Alizadeh Sefat S, Alavi A, Hemmati H, Esmaeili Delshad MS, et al. Granulomatous mastitis: presentations, diagnosis, treatment and outcome in 206 patients from the north of Iran. Breast 2015; 24: 456-60.
10
Chen C, Luo LB, Gao D, Qu R, Guo YM, Huo JL, et al. Surgical drainage of lactational breast abscess with ultrasound-guided Encor vacuum-assisted breast biopsy system. Breast J 2019; 25: 889-97.
11
Dener C, Inan A. Breast abscesses in lactating women. World J Surg 2003; 27: 130-3.
12
Karstrup S, Solvig J, Nolsøe CP, Nilsson P, Khattar S, Loren I, et al. Acute puerperal breast abscesses: US-guided drainage. Radiology 1993; 188: 807-9.
13
Christensen AF, Al-Suliman N, Nielsen KR, Vejborg I, Severinsen N, Christensen H et al. Ultrasound-guided drainage of breast abscesses: results in 151 patients. Br J Radiol 2005; 78: 186-8.
14
Versluijs-Ossewaarde FN, Roumen RM, Goris RJ. Subareolar breast abscesses: characteristics and results of surgical treatment. Breast J 2005; 11: 179- 82.
15
Breast abscesses: evidence-based algorithms for diagnosis, management, and follow-up. Radiographics 2011; 31: 1683-99.
16
Fahrni M, Schwarz EI, Stadlmann S, Singer G, Hauser N, Kubik-Huch RA. Breast abscesses: diagnosis, treatment and outcome. Breast Care (Basel) 2012; 7: 32-8.
17
[Boakes E, Woods A, Johnson N, Kadoglou N. Breast infection: a review of diagnosis and management practices. Eur J Breast Health 2018; 14: 136-43.
18
Ingram AD, Mahoney MC. An overview of breast emergencies and guide to management by interventional radiologists. Tech Vasc Interv Radiol 2014; 17: 55-63.
19
Lam E, Chan T, Wiseman SM. Breast abscess: evidence based management recommendations. Expert Rev Anti Infect Ther 2014; 12: 753-62.
20
Kornfeld HW, Mitchell KB. Management of idiopathic granulomatous mastitis in lactation: case report and review of the literature. Int Breastfeed J 2021; 16: 23.
21
Alper F, Karadeniz E, Güven F, Yılmaz Çankaya B, Özden K, Akçay MN. The evaluation of the efficacy of local steroid administration in idiopathic granulomatous mastitis: The preliminary results. Breast J 2020; 26: 309-11.
22
Altintoprak F, Kivilcim T, Yalkin O, Uzunoglu Y, Kahyaoglu Z, Dilek ON. Topical Steroids are effective in the treatment of idiopathic granulomatous mastitis. World J Surg 2015; 39: 2718-23.
23
Toktas O, Toprak N. Treatment results of intralesional steroid injection and topical steroid administration in pregnant women with idiopathic granulomatous mastitis. Eur J Breast Health 2021; 17: 283-7.
24
Ren Y, Zhang J, Zhang J, Guo R. Combining intralesional steroid injection with oral steroids in patients with idiopathic granulomatous mastitis. Medicine (Baltimore) 2023; 102: e34055.
25
Lai EC, Chan WC, Ma TK, Tang AP, Poon CS, Leong HT. The role of conservative treatment in idiopathic granulomatous mastitis. Breast J 2005; 11: 454-6.
26
Velidedeoglu M, Kilic F, Mete B, Yemisen M, Celik V, Gazioglu E, et al. Bilateral idiopathic granulomatous mastitis. Asian J Surg 2016; 39: 12-20.