Granulomatous Lobular Mastitis: A Clinicopathological Study | Chapter 4 | Highlights on Medicine and Medical Science Vol. 17

 Granulomatous Lobular Mastitis is a rather uncommon illness. This condition resembles cancer and tuberculosis. This syndrome is characterised by granulomatous inflammation with multinucleated large cells and epithelioid histiocytes. The inflammation is concentrated in the lobules. The purpose of this study is to look at the clinical and pathological features of eight cases of granulomatous lobular mastitis, as well as the literature.

The research is based on a prospective observational study. There were a total of eight patients examined. The investigations are now concluded. The patient was given Erythromycin 250 mg qid for seven days, Tinidazole 500 mg bid for two months, and steroids for seven days. After the tumours were removed, the sinuses were excised, and the abscesses were drained, oral steroids were given. There was a six-month follow-up.

The patients, who ranged in age from 18 to 36, were usually multiparous and nursing. In three cases, the lesion was found to be malignant, while in five others, it was found to be benign. Oral contraceptive tablets were used by the majority of the patients. In three cases, suppuration was observed, while sinuses were discovered in two others. On histological examination, a granulomatous inflammation centred on the lobules was found.

Conclusion: The diagnosis of granulomatous lobular mastitis should be established very carefully to avoid misunderstandings with malignancy, tuberculosis, fungal infection, sarcoidosis, mammary duct ectasia, cystic abnormalities in the breast with over palpation, and puerperal mastitis with over palpation. Despite its rarity, pathologists and surgeons must have a solid understanding of the disease in order to better its identification.

Author (S) Details

Sapna Goel
Department of Pathology, SHKM Government Medical college, Nalhar, Nuh, Mewat, Haryana, India.

Kanwar Singh Goel
Department of General Surgery, Faculty of Medicine & Health Sciences, (SGT Medical College) Under SGT University, Budhera, Gurugram, Haryana, India.

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A Rare Case of Lateral Nasal Wall Haemangioma in a Young Female| Chapter 17 | Highlights on Medicine and Medical Science Vol. 10

 Hemangiomas are benign tumours that arise from the body's circulatory systems. They are classified as capillary, cavernous, or mixed histologically. Although it is frequent in the head and neck area, it is uncommon in the nasal cavity, nasopharynx, and paranasal sinuses, accounting for only 10% of all head and neck haemangiomas. The haemangioma in this patient originated from the right nasal cavity's lateral nasal wall. So yet, just a handful similar examples have been described in the literature. This case was described since it had the potential to be misdiagnosed due to radiological abnormalities, as well as to highlight the benefits of embolization in the treatment of such highly vascular nasal tumours.

Author (S) Details

Dr. Ashfaque Ansari
Department of E.N.T, MGM Medical College and Hospital, Aurangabad, India.

Dr. Sanjana U. Nair
Department of E.N.T, MGM Medical College and Hospital, Aurangabad, India.

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