Journal of General Internal Medicine

, Volume 25, Issue 3, pp 270–273 | Cite as

Idiopathic Granulomatous Mastitis: Case Reports and Review of Literature

  • Rakshitkumar A. PatelEmail author
  • Pamela Strickland
  • Ishwara R. Sankara
  • Glen Pinkston
  • Wickliffe ManyJr.
  • Martin Rodriguez
Case Reports/Clinical Vignettes


Idiopathic granulomatous mastitis (IGM) is an uncommon benign disorder of the breast that can mimic two frequent breast disorders, breast carcinoma and breast abscess. In this report, we present two patients seen in a community teaching hospital over a period of one year, diagnosed with IGM after histological evaluation. One patient responded well to immunosuppressive therapy, but the second patient required bilateral mastectomy due to the severe and recurrent nature of the disease. IGM is a disorder that should be considered in the evaluation of women who present with painful breast disease. We discuss the diagnosis, clinical presentation and management of IGM.


idiopathic granulomatous mastitis mastitis granulomas 



There are no internal or external conflicts of interest to report.

Conflict of Interest

None disclosed.


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Copyright information

© Society of General Internal Medicine 2009

Authors and Affiliations

  • Rakshitkumar A. Patel
    • 1
    • 6
    Email author
  • Pamela Strickland
    • 2
  • Ishwara R. Sankara
    • 3
  • Glen Pinkston
    • 4
  • Wickliffe ManyJr.
    • 1
  • Martin Rodriguez
    • 5
  1. 1.Birmingham Health Center MontgomeryUniversity of AlabamaMontgomeryUSA
  2. 2.Department of SurgeryBaptist Medical CenterMontgomeryUSA
  3. 3.Department of Internal MedicineAnMed HealthAndersonUSA
  4. 4.Department of PathologyBaptist Medical CenterMontgomeryUSA
  5. 5.Division of Infectious DiseasesUniversity of AlabamaBirminghamUSA
  6. 6.Department of Internal MedicineUniversity of Alabama at Birmingham Health Center MontgomeryMontgomeryUSA

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