WTP8.8 Granulomatous Mastitis: A Service Evaluation
Ritika Rampal, Emma Macinnes- Surgery
Abstract
Introduction
Granulomatous mastitis (GM) is a benign, recurrent, inflammatory disease affecting the breast. There is a lack of strong evidence to support guidelines for management of this distressing condition. We performed an exploratory review of assessment and management of GM over a five-year period in a large teaching hospital breast unit.
Methods
This retrospective, observational cohort study included all cases of GM diagnosed from 2015-present. Data collection included patient demographics, presentation, assessment and management. Patient breast clinic attendance, total time spent in outpatient appointments related to GM, and other speciality input was also noted.
Results
19 patients were identified with GM on tissue biopsy (median age 41 years). 53% belonged to black and other ethnic minorities, 47% were Caucasian. 63% had no co-morbidities. 90% were non-smokers. 10% had bilateral and 38% multifocal disease. Most patients scored R3/ U3 or above on imaging. 58% of the cohort attended outpatients for a period greater than 7 months. There was also considerable heterogeneity in both assessment and management approaches.
Conclusion
The results demonstrate the significant morbidity and burden of care associated with Granulomatous Mastitis. Multidisciplinary care is necessary for both diagnosis and management. Bespoke, individualised patient information including a record of all medical input into assessment and management may help to alleviate patient anxiety and streamline care between multiple medical teams.