Exploration d'une inflammation du sein en dehors de la grossesse et de la période d'allaitement

recommandations

Translated title of the contribution: Exploration of breast inflammation excluding pregnancy and breastfeeding: Guidelines

C. Touboul, E. Laas, Arash Rafii Tabrizi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Breast inflammation, excluding breast-feeding and pregnancy, is a rare breastpathology. We conducted a PubMed database search of all studies focusing on mastitis or breastinflammation exploration. While the most frequent aetiologies are infectious and inflammatory,inflammatory breast cancer can be diagnosed (LE2). Aetiologic diagnostic is difficult due to theabsence of any clinical and imaging specific signs (LE3). The presence of mass, suspect lymphnodes or skin thickening in a woman older than 40 years old should orient toward inflammatorybreast 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 recommendstarting an antibiotic treatment (grade C) with a clinical follow-up at the end of the treat-ment (grade B). If the symptoms persist, we recommend a new imaging (± MRI) (grade C) and abiopsy (grade C). Benign inflammatory pathologies may require a biopsy to exclude an inflam-matory breast cancer and precise the diagnosis. Their specific management and treatment arepresented in detail in the following chapters and may involve steroids.

Original languageFrench
Pages (from-to)913-920
Number of pages8
JournalJournal de Gynecologie Obstetrique et Biologie de la Reproduction
Volume44
Issue number10
DOIs
Publication statusPublished - 1 Dec 2015

Fingerprint

Breast Feeding
Breast
Inflammatory Breast Neoplasms
Guidelines
Pathology
Inflammation
Biopsy
Pregnancy
Mastitis
PubMed
Ultrasonography
Steroids
Databases
Breast Neoplasms
Anti-Bacterial Agents
Skin
Therapeutics
Neoplasms

Keywords

  • Inflammation of thebreast
  • Inflammatory breast
  • Inflammatory breastcancer
  • Mastitis

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

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title = "Exploration d'une inflammation du sein en dehors de la grossesse et de la p{\'e}riode d'allaitement: recommandations",
abstract = "Breast inflammation, excluding breast-feeding and pregnancy, is a rare breastpathology. We conducted a PubMed database search of all studies focusing on mastitis or breastinflammation exploration. While the most frequent aetiologies are infectious and inflammatory,inflammatory breast cancer can be diagnosed (LE2). Aetiologic diagnostic is difficult due to theabsence of any clinical and imaging specific signs (LE3). The presence of mass, suspect lymphnodes or skin thickening in a woman older than 40 years old should orient toward inflammatorybreast 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 recommendstarting an antibiotic treatment (grade C) with a clinical follow-up at the end of the treat-ment (grade B). If the symptoms persist, we recommend a new imaging (± MRI) (grade C) and abiopsy (grade C). Benign inflammatory pathologies may require a biopsy to exclude an inflam-matory breast cancer and precise the diagnosis. Their specific management and treatment arepresented in detail in the following chapters and may involve steroids.",
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PY - 2015/12/1

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N2 - Breast inflammation, excluding breast-feeding and pregnancy, is a rare breastpathology. We conducted a PubMed database search of all studies focusing on mastitis or breastinflammation exploration. While the most frequent aetiologies are infectious and inflammatory,inflammatory breast cancer can be diagnosed (LE2). Aetiologic diagnostic is difficult due to theabsence of any clinical and imaging specific signs (LE3). The presence of mass, suspect lymphnodes or skin thickening in a woman older than 40 years old should orient toward inflammatorybreast 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 recommendstarting an antibiotic treatment (grade C) with a clinical follow-up at the end of the treat-ment (grade B). If the symptoms persist, we recommend a new imaging (± MRI) (grade C) and abiopsy (grade C). Benign inflammatory pathologies may require a biopsy to exclude an inflam-matory breast cancer and precise the diagnosis. Their specific management and treatment arepresented in detail in the following chapters and may involve steroids.

AB - Breast inflammation, excluding breast-feeding and pregnancy, is a rare breastpathology. We conducted a PubMed database search of all studies focusing on mastitis or breastinflammation exploration. While the most frequent aetiologies are infectious and inflammatory,inflammatory breast cancer can be diagnosed (LE2). Aetiologic diagnostic is difficult due to theabsence of any clinical and imaging specific signs (LE3). The presence of mass, suspect lymphnodes or skin thickening in a woman older than 40 years old should orient toward inflammatorybreast 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 recommendstarting an antibiotic treatment (grade C) with a clinical follow-up at the end of the treat-ment (grade B). If the symptoms persist, we recommend a new imaging (± MRI) (grade C) and abiopsy (grade C). Benign inflammatory pathologies may require a biopsy to exclude an inflam-matory breast cancer and precise the diagnosis. Their specific management and treatment arepresented in detail in the following chapters and may involve steroids.

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