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The Role of Establishing a Multidisciplinary Team for Idiopathic Granulomatous Mastitis in Improving Patient Outcomes and Spreading Awareness about Recent Disease Trends
المؤلفون المشاركون
Yaghan, Rami J.
Ayoub, Nehad M.
Hamouri, Shadi
Al-Mohtaseb, Alia
Gharaibeh, Maha
Yaghan, Lamees
Al-Dari, Mahmoud
Al-Kaff, Hiba
Al-Zoubi, Nabil A.
المصدر
International Journal of Breast Cancer
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-01-27
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background.
Iidiopathic granulomatous mastitis (IGM) is stereotypically described as a mysterious entity that mimics breast carcinoma imposing management challenges.
In 2002, we established a multidisciplinary team to treat patients with IGM.
This study aimed to evaluate the role of this team in improving patient outcomes.
Also, a review of literature is provided to highlight recent disease trends.
Patients and Methods.
Pertinent data for 44 patients treated for IGM from 2002 to 2018 were analyzed and compared to data prior to 2002.
Results.
Mean age at diagnosis was 37.9 years ± 6.4.
The diagnosis of IGM was confirmed by True-cut biopsy (TCB), Frozen section (FS), and surgical biopsy in 70.5%, 25%, and 4.5% of patients, respectively.
FS was used to assess the resection margins in three patients.
Suspicion for malignancy was raised in one out of 39 ultrasound reports, and one out of 20 mammography reports.
Wide local excision was the main treatment modality (95.5%).
19 patients (43.2%) received corticosteroids.
Prior to 2002, IGM was only recognized after surgical resection with a 71% initial false impression of carcinoma.
After 2002, the initial false clinical impression of carcinoma dropped to 29.5%.
Recurrence rate was 31.82%.
Younger age at diagnosis was significantly associated with recurrence (χ2 = 5.598; p=0.018).
Chi-square analysis showed no significant association between BMI and recurrence (χ2 = 0.776; p=0.678).
Conclusion.
The establishment of a multidisciplinary team for IGM was associated with a reduced erroneous impression of breast cancer, and a reduced false positive radiological diagnosis of breast carcinoma.
FS was a useful confirmatory procedure.
Our series included the first case of a diffuse papular rash as a systemic manifestation of IGM.
Recent literature indicates that IGM is changing its face.
IGM is being reported in all age groups, and even in males.
The clinical manifestations have markedly expanded.
Diagnosis by TCB has replaced blind surgical excision.
More data regarding predictors of recurrence is accumulating.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Yaghan, Rami J.& Ayoub, Nehad M.& Hamouri, Shadi& Al-Mohtaseb, Alia& Gharaibeh, Maha& Yaghan, Lamees…[et al.]. 2020. The Role of Establishing a Multidisciplinary Team for Idiopathic Granulomatous Mastitis in Improving Patient Outcomes and Spreading Awareness about Recent Disease Trends. International Journal of Breast Cancer،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1169121
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Yaghan, Rami J.…[et al.]. The Role of Establishing a Multidisciplinary Team for Idiopathic Granulomatous Mastitis in Improving Patient Outcomes and Spreading Awareness about Recent Disease Trends. International Journal of Breast Cancer No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1169121
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Yaghan, Rami J.& Ayoub, Nehad M.& Hamouri, Shadi& Al-Mohtaseb, Alia& Gharaibeh, Maha& Yaghan, Lamees…[et al.]. The Role of Establishing a Multidisciplinary Team for Idiopathic Granulomatous Mastitis in Improving Patient Outcomes and Spreading Awareness about Recent Disease Trends. International Journal of Breast Cancer. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1169121
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1169121
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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