Original Article

Scoring Idiopathic Granulomatous Mastitis: An Effective System for Predicting Recurrence?


  • Tonguç Utku Yılmaz
  • Bora Gürel
  • Sertaç Ata Güler
  • Mehmet Ali Baran
  • Büşra Erşan
  • Seda Duman
  • Zafer Utkan

Received Date: 05.07.2017 Accepted Date: 22.11.2017 Eur J Breast Health 2018;14(2):112-116


Idiopathic granulomatous mastitis is a breast disease without a definitive etiology. There are no definitive classifications, scoring systems or certitudes. The aim of this study is to define the factors related to the recurrence and design a scoring system.

Material and Methods:

Patients who were admitted to the general surgery department with symptoms of granulomatous mastitis were evaluated by ultrasonography and underwent antibiotic therapy. Granulomatous mastitis is diagnosed by core biopsy and treated with steroid therapy. Patients without improvement underwent surgery and were included in the study. In total, 53 patients were included in the study. There were 8 recurrent cases. Factors related with recurrences were defined.


Number of births over 2, duration of lactation more than 18 months, body mass index greater than 31, having fistula in physical examination, abscess collection in ultrasonographic examination, and luminal inflammation score over 2 were scored as 1. Severity score in recurrent cases were 5.1±0.6 whereas 1.9±1.0 in nonrecurrent cases.


Granulomatous mastitis score is a tool targeted at predicting the risk of recurrences. The patients with these factors are more prone for recurrences.

Keywords: Granulomatous mastitis, recurrence, risk factors, surgery