Scholarlink

<p>Non-lactational mastitis (NLM) is a troublesome disease in young and middle-aged women. There is lack of a decision analysis approach for NLM. A prospective cohort study with a decision analysis protocol was carried out for patients with NLM. The study was carried out at a tertiary care hospital from August 2018 until March 2020. A total of 69 patients were recruited. The unit of study was the affected mammary gland. Nine ladies had bilateral breast disease; hence, 78 breasts were studied. The final diagnosis was acute/chronic mastitis in 49 units and granulomatous mastitis in 29 units (13 units were tubercular and 16 were non-tubercular in etiology). The cure rate was 95.9% for acute/chronic mastitis and 89.6% in the granulomatous mastitis group. Granulomatous mastitis was treated with a combination of antibiotics, antitubercular therapy (ATT), prednisolone, and radical mammary duct excision (RDE). Seventeen units (including acute/chronic mastitis and granulomatous mastitis) underwent RDE with three recurrences. The overall cure rate was 93.5%. The decision analysis approach has accomplished cure in most patients with selective use of ATT and prednisolone in the treatment of granulomatous mastitis.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Prospective Cohort Study with a Decision Analysis Approach for the Management of Non-lactational Mastitis

  • 期刊论文

  • 发表日期：

    2025年3月11日

查看全文
  • Deepti Singh,
  • Anurag Srivastava,
  • Anita Dhar,
  • Kamal Kataria,
  • Piyush Ranjan,
  • Smriti Hari,
  • Karan Madan,
  • Randeep Guleria,
  • Sandeep Mathur

摘要

Non-lactational mastitis (NLM) is a troublesome disease in young and middle-aged women. There is lack of a decision analysis approach for NLM. A prospective cohort study with a decision analysis protocol was carried out for patients with NLM. The study was carried out at a tertiary care hospital from August 2018 until March 2020. A total of 69 patients were recruited. The unit of study was the affected mammary gland. Nine ladies had bilateral breast disease; hence, 78 breasts were studied. The final diagnosis was acute/chronic mastitis in 49 units and granulomatous mastitis in 29 units (13 units were tubercular and 16 were non-tubercular in etiology). The cure rate was 95.9% for acute/chronic mastitis and 89.6% in the granulomatous mastitis group. Granulomatous mastitis was treated with a combination of antibiotics, antitubercular therapy (ATT), prednisolone, and radical mammary duct excision (RDE). Seventeen units (including acute/chronic mastitis and granulomatous mastitis) underwent RDE with three recurrences. The overall cure rate was 93.5%. The decision analysis approach has accomplished cure in most patients with selective use of ATT and prednisolone in the treatment of granulomatous mastitis.