World Journal of Surgery

, Volume 39, Issue 11, pp 2718–2723 | Cite as

Topical Steroids Are Effective in the Treatment of Idiopathic Granulomatous Mastitis

  • Fatih AltintoprakEmail author
  • Taner Kivilcim
  • Omer Yalkin
  • Yener Uzunoglu
  • Zeynep Kahyaoglu
  • Osman Nuri Dilek
Original Scientific Report



Idiopathic granulomatous mastitis (IGM) is a rare, benign, and chronic disease of the breast. Despite the various treatment approaches described for this disease, a gold standard treatment modality has not yet been defined. In this study, the effect of topical steroids was reviewed and assessed in patients with IGM.


The records of patients with IGM who were treated only with topical steroids were retrospectively reviewed. Patients were grouped as “completely healed,” “inadequately healed,” “stable,” “worsened,” or “recurred” if they had once healed but their symptoms returned. Patients whose skin changes were completely ameliorated were considered “completely healed.”


All of the patients were women, and the average patient age was 35.7 years (range 24–48 years). During the average follow-up of 37.2 months (range 12–72 months) in patients who received only topical steroid treatment, recurrence was observed in three patients (3/28, 10.7 %), and no side effects or steroid-related complications occurred.


Topical steroids seem to be effective in the treatment of IGM characterized by skin changes. Prospective clinical studies would be useful in determining the clinical efficacy of topical steroids in the treatment of IGM.


Atopic Dermatitis Steroid Treatment Topical Steroid Breast Skin Idiopathic Granulomatous Mastitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Société Internationale de Chirurgie 2015

Authors and Affiliations

  • Fatih Altintoprak
    • 1
    Email author
  • Taner Kivilcim
    • 2
  • Omer Yalkin
    • 2
  • Yener Uzunoglu
    • 2
  • Zeynep Kahyaoglu
    • 3
  • Osman Nuri Dilek
    • 1
    • 4
  1. 1.Department of General Surgery, Faculty of MedicineSakarya UniversitySakaryaTurkey
  2. 2.Department of General Surgery, Research and Educational HospitalSakarya UniversitySakaryaTurkey
  3. 3.Department of Pathology, Research and Educational HospitalSakarya UniversitySakaryaTurkey
  4. 4.Department of General Surgery, Faculty of MedicineKatip Celebi UniversitySakaryaTurkey

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