Idiopathic granulomatous mastitis: A report of three cases

This article describes the clinical presentation and mammographic, gray-scale and color Doppler sonographic findings for three women with idiopathic granulomatous mastitis. In each case, a complete history was obtained, a thorough physical examination was performed, and routine laboratory tests were done. Two of the three lumps were tender at the time of presentation; the third was not painful. All three patients had diabetes mellitus. Mammography was done in two cases, and both showed asymmetric density in the area of the palpable mass. Ultrasonography showed multiple hypoechoic lesions in two patients and intraductal papillomatous lesions in one patient. In two cases, there was increased vascularization within and around the lesions. Radiologic findings in cases of idiopathic granulomatous mastitis are non-specific; histopathologic analysis is necessary for a definitive diagnosis.