• Evaluation of the Assessment Tools to Predict Axillary Status Postneoadjuvant Chemotherapy in Locally Advanced Breast Cancer
    Hisham Khalifa MD1, Ahmed Touny MD1 , Ihab Saad1 , Ahmed Abd elmaabood2 , Iman Hussein3 , Sherif Maamoon1
  • A comparative Study of 3 cm and 6 cm Pre-pyloric Starting Point for Sleeve Gastrectomy as Regard Post-operative Weight Loss and Vomiting
    Mohamed Abd El-Moneim El-Masry(MD); Muhammad El Marzouky (MD); Yehia Fayez (Msc)
  • Ultrasonographic Assessment of Internal anal Sphincter Integritypost Open and Stapling Approaches for Haemorrhoids
    Ahmed M.S.M. Marzouk MD, Hany M.S. Mikhail MD, Abdrabou N Mashhour MD, Emad Fathi MSC
  • Short Term Results of Revisional Laparoscopic Bariatric Surgery after Open Vertical Banded Gastroplasty (VBG): Sleeve Versus Bypass
    Mohamed Abd El-Moneim El-Masry(MD); Hussein Oukasha(MD)
  • Percutaneous Retrieval of Migrated Central Venous Catheters
    Mohamed El-Maadawy, MD & Amr Abdelraheem, MD.
  • The Use of Tetracycline Sclerotherapy as an Option in Management of The Refractory Postmastectomy Seroma
    Mohamed I Abdelaziz, MD, Salah S. Soliman,MD, Hany F Habashy
  • A Comparative Prospective Randomized Study between Laparoendoscopic Single Site Heller Myotomy with Dor Fundoplication and Multiple Port Laparoscopic Myotomy with Toupet Fundoplication for Treatment of Achalasia
    Wael L. Tobar, A Ayad MD, A Morad* MD
  • Pneumatic Compression versus Pulsed Ultrasound for Venous Leg Ulcer Treatment
    Haidy N. Ashem MD. and Mohamed Yehia MD.
  • Surgery for the Malignant Residual Cervical Stump.
    Ahmed Touny MD, Amr Selim. MD
  • Idiopathic Granulomatous Mastitis: Is a Challenging Disease
    Ayman M. A. Ali MD. & Ahmed Gaber Mahmoud MD
  • Perforator Flaps for the Reconstruction of Axillary Defects: Different Designs and Applications
    Ahmed Ali Ebrahiem Ali, M.Sc.
  • Minimally Invasive Non-Dissecting Technique Otoplasty for Prominent (Bat) Ears Deformity
    Amr Ibrahim Fouad (MD), Ashraf AbolFottoh (M), Sameh El Noamany Mohamed Hazem (MD)
  • Short-term Outcomes of Infrapopliteal Angioplasty for Critical Lower Limb Ischemia
    Ahmed Samir Hosny.M.D.MRCS (Ed); Mohamed El Maadawy. M.D
  • Role of Laparoscopy in Management of Intra-abdominal Tumors
    Waheed Yousry Gareer MD, Mohamed El-Sayed Safa MD, Amr Seliem MD

    • Idiopathic Granulomatous Mastitis: Is a Challenging Disease

    Ayman M. A. Ali MD. & Ahmed Gaber Mahmoud MD
    General Surgery Department, Sohag Faculty of Medicine, Egypt

    Idiopathic granulomatous mastitis (IGM) is a rare benign disease of uncertain etiology having diagnostic and therapeutic challenges which was treated surgically with poor outcome. This study tried to clarify the diagnostic difficulties and to evaluate different lines of treatment and their outcomes. This is a prospective study randomly included 9 patients with proven IGM based on clinical, radiological and pathological examinations. The outcome of diffferent treatment options was evaluated after a mean follow-up period of 18.9±2.1 months. All patients presented with a history of a unilateral painful palpable breast lump. Patients had a clinical presentation mimic inflammation in (56%) and malignancy in (44%). Histopathology was conclusive in exclusion of other causes of granulomas thus diagnosing IGM while ultrasonography and mammography was not. Eight cases out of nine responded to corticosteroid therapy (mean 3.5 months) while one was resistant and responded to surgical excision. At follow-up (22%) had recurrence and responded well to a second course of corticosteroid. Conclusion. A combination of surgery and medical treatment for IGM according to the severity is better than any alone. Keywords: Granulomatous lobular mastitis, corticosteroid treatment, Breast Carcinoma.

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