[Exploration of breast inflammation excluding pregnancy and breastfeeding: Guidelines]. / Exploration d'une inflammation du sein en dehors de la grossesse et de la période d'allaitement: recommandations.
J Gynecol Obstet Biol Reprod (Paris)
; 44(10): 913-20, 2015 Dec.
Article
in Fr
| MEDLINE
| ID: mdl-26527011
ABSTRACT
Breast inflammation, excluding breast-feeding and pregnancy, is a rare breast pathology. We conducted a PubMed database search of all studies focusing on mastitis or breast inflammation exploration. While the most frequent aetiologies are infectious and inflammatory, inflammatory breast cancer can be diagnosed (LE2). Aetiologic diagnostic is difficult due to the absence of any clinical and imaging specific signs (LE3). The presence of mass, suspect lymph nodes or skin thickening in a woman older than 40 years old should orient toward inflammatory breast cancer (LE3). A suspect lesion must lead to perform a biopsy under sonography (grade A). In the absence of evidence for a malignant pathology after initial evaluation, we recommend starting an antibiotic treatment (grade C) with a clinical follow-up at the end of the treatment (grade B). If the symptoms persist, we recommend a new imaging (± MRI) (grade C) and a biopsy (grade C). Benign inflammatory pathologies may require a biopsy to exclude an inflammatory breast cancer and precise the diagnosis. Their specific management and treatment are presented in detail in the following chapters and may involve steroids.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Practice Guidelines as Topic
/
Inflammatory Breast Neoplasms
/
Mastitis
Type of study:
Guideline
Limits:
Female
/
Humans
Language:
Fr
Journal:
J Gynecol Obstet Biol Reprod (Paris)
Year:
2015
Document type:
Article