Granulomatous Mastitis in Pregnancy - A Case Report

Abstract

Granulomatous mastitis (GM) is a chronic inflammatory disease of the breast that usually occurs in women of reproductive age. However, GM during pregnancy is unusual and only one case of GM in the accessory breast has been reported so far. Here, we report an extremely rare case of GM in pregnancy.

A 26-year-old multigravida at 34 weeks of gestation with multilobulated breast mass not relieved by antibiotics or incision and drainage. Histopathology showed epithiloid granuloma hence started on anti-tubercular therapy. Treatment for GM should be considered individually and carefully in accordance with the patients’ condition. Unnecessary surgery should be avoided. However, early addition of surgical interventions may yield good outcomes, especially for pregnant women because of limited treatment options.