Management of idiopathic granulomatous mastitis with observation

Marcia E. Bouton, Lakshmi Jayaram, Patrick J. O'Neill, Chiu Hsieh Hsu, Ian K. Komenaka

Research output: Contribution to journalArticlepeer-review

54 Scopus citations


Background Idiopathic granulomatous mastitis (IGM) is becoming more commonly recognized and reported more often. Currently, many recommend corticosteroids in its management. Methods A retrospective chart review was conducted from January 2002 to June 2013. Data were collected regarding sociodemographic information, clinical history, treatment, and outcomes. Results Thirty-seven patients were found with IGM. Thirty-five patients were Hispanic born outside the United States. Early in the time period reviewed, 5 patients had masses excised and 5 patients were lost to follow-up. Twenty-seven cases of IGM resolved with observation. Corticosteroids were not used in the management. The average time to resolution was 7.4 months. Three patients (11%) had recurrent episodes after resolution. Conclusions IGM is a self-limited benign condition that will resolve spontaneously without treatment. Patience with the natural history of IGM is important, as the process often includes periods of exacerbation before resolution.

Original languageEnglish (US)
Pages (from-to)258-262
Number of pages5
JournalAmerican journal of surgery
Issue number2
StatePublished - Aug 1 2015


  • Disparities
  • Granulomatous mastitis
  • Observation
  • Patient education
  • Steroids

ASJC Scopus subject areas

  • Surgery


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