Which are the symptoms of Granulomatous Mastitis?

Symptoms of Granulomatous Mastitis

Granulomatous mastitis is a rare, chronic inflammatory breast condition that primarily affects women of childbearing age. It is characterized by the formation of granulomas, which are small nodules or lumps, in the breast tissue. These granulomas can cause a range of symptoms that vary in severity from person to person.

Breast Lump: The most common symptom of granulomatous mastitis is the presence of a firm, tender lump in the breast. This lump is typically located in one breast and can be quite painful. It may feel hard or rubbery to the touch and can vary in size. The lump may also be accompanied by swelling and redness of the breast.

Breast Pain: Many women with granulomatous mastitis experience significant breast pain. The pain can be constant or intermittent and may worsen with movement or pressure. It is often described as a dull, aching sensation that radiates to the armpit or back. The pain can be severe and debilitating, affecting daily activities and quality of life.

Discharge: Some women with granulomatous mastitis may notice a discharge from the affected breast. The discharge can be clear, yellow, or bloody in nature. It may be spontaneous or only occur when the lump is squeezed or manipulated. The presence of discharge should always be evaluated by a healthcare professional.

Skin Changes: Granulomatous mastitis can cause changes in the skin overlying the affected breast. The skin may become red, swollen, and warm to the touch. In some cases, the skin may develop an orange-peel appearance, known as peau d'orange. These skin changes are typically localized to the area around the lump but can extend to a larger portion of the breast.

Recurrent Abscesses: In some instances, granulomatous mastitis can lead to the formation of abscesses. Abscesses are pockets of pus that can cause additional pain, swelling, and tenderness. They may require drainage and antibiotic treatment to resolve. Recurrent abscesses can be a challenging aspect of granulomatous mastitis and may necessitate ongoing management.

Systemic Symptoms: In rare cases, granulomatous mastitis can cause systemic symptoms that affect the whole body. These can include fever, fatigue, malaise, and weight loss. Systemic symptoms are more commonly seen in severe or advanced cases of granulomatous mastitis.

If you are experiencing any of these symptoms, it is important to consult a healthcare professional for a proper diagnosis and appropriate management. Granulomatous mastitis can mimic other breast conditions, such as breast cancer, so a thorough evaluation is necessary to rule out other potential causes.