Hello doctor,I am 33 years old female. Before four years, I had a baby girl but she never did breastfeeding on my left breast. Now before one month, I have noticed I have breast lump which is never painful for me. I had reduced my weight to 8 to 10 kg from last 10 months. That is the only symptom that matches here. The doctor suggested mammogram followed by biopsy but the result was active chronic mastitis with giant cell reaction. So, the doctor prescribed antibiotics but after 20 days lump is of the same size. The next visit she suggested was an excisional biopsy of the lump. So, finally, I did an excisional biopsy or removed lump with surgery and then now biopsy report says mammary duct ectasia with chronic granulomatous mastitis. There is no evidence of malignancy in the examined material. Now my doctor is confused about what kind of treatment has to be started here as disease says for chances of repeated again but what kind of treatment will be effective here. Can you please advice here, if possible?
Hi. First of all, you can relax well as there is nothing to worry with this report (attachment removed to protect patient identity). The breast lump excision biopsy (the removed lump) has no evidence of cancerous tissue. It has evidence of inflammation and infection. Now few changes are noted in the biopsy are also seen in tuberculosis. But there is no strong evidence to suggest tuberculosis. This might have made your treating doctor confused. My suggestions would be you can get the slides reviewed by another pathologist, just for a second opinion. If it is non-specific, you can be just on follow up.