Fertility indicators in idiopathic granulomatous mastitis; A case-control study

Document Type : Original Article

Authors

1 Assistant Professor, Department of Surgery, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.

2 Medical student, Student Research Committee, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.

3 Assistant professor, Department of Statistics, Qom University, Qom, Iran.

Abstract

Introduction: Idiopathic granulomatous mastitis (IGM) is a rare chronic inflammatory disease of the breast tissue with unknown etiology. Due to the appearance of most cases of the disease in reproductive age and in women with a history of pregnancy and breastfeeding, the present study was performed with aim to investigate fertility indicators in IGM.
Methods: This retrospective study was conducted in 2018-2019 on 240 women, including 80 patients with idiopathic granulomatous mastitis and 160 healthy individuals, referred to the breast clinic of Kurdistan University of Medical Sciences-Iran. Data related to the variables of age, BMI, number of pregnancies, duration of breastfeeding, age of first pregnancy, age of first menstrual period and history of taking contraceptive pills were collected by referring to patients' records in order to determine the relationship of each of these variables with the disease. Data analysis was done using SPSS software (version 25) and independent t-test and Fisher test. P<0.05 was considered statistically significant.
Results: There was a significant relationship between variables of BMI, number of pregnancies, and duration of breastfeeding in the case and control groups (p<0.05); While there was no significant relationship between variables of age, age of first pregnancy, age of first menstruation and history of taking OCP in the case and control groups (p>0.05).
Conclusion: The present study showed that patients with IGM had a higher BMI, more number of pregnancies, and a longer duration of breastfeeding compared to non-affected people; Age, age of first pregnancy, age of first menstruation, and history of OCP use had no significant relationship with IGM.

Keywords


  1.  

    1. Al-Khaffaf B, Knox F, Bundred NJ. Idiopathic granulomatous mastitis: a 25-year experience. Journal of the American College of Surgeons 2008; 206(2):269-73.
    2. Pandey TS, Mackinnon JC, Bressler L, Millar A, Marcus EE, Ganschow PS. Idiopathic granulomatous mastitis—a prospective study of 49 women and treatment outcomes with steroid therapy. The breast journal 2014; 20(3):258-66.
    3. Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. American journal of clinical pathology 1972; 58(6):642-6.
    4. Barreto DS, Sedgwick EL, Nagi CS, Benveniste AP. Granulomatous mastitis: etiology, imaging, pathology, treatment, and clinical findings. Breast cancer research and treatment 2018; 171:527-34.
    5. Bakaris S, Yuksel M, Cιragil P, Guven MA, Ezberci F, Bulbuloglu E. Granulomatous mastitis including breast tuberculosis and idiopathic lobular granulomatous mastitis. Canadian journal of surgery 2006; 49(6):427-30.
    6. Ozturk M, Mavili E, Kahriman G, Akcan AC, Ozturk F. Granulomatous mastitis: radiological findings. Acta Radiologica 2007; 48(2):150-5.
    7. Altintoprak F, Kivilcim T, Ozkan OV. Aetiology of idiopathic granulomatous mastitis. World Journal of Clinical Cases: WJCC 2014; 2(12):852.
    8. Shojaee L, Rahmani N, Moradi S, Motamedi A, Godazandeh G. Idiopathic granulomatous mastitis: challenges of treatment in iranian women. BMC surgery 2021; 21:1-7.
    9. Bani‐Hani KE, Yaghan RJ, Matalka II, Shatnawi NJ. Idiopathic granulomatous mastitis: time to avoid unnecessary mastectomies. The breast journal 2004; 10(4):318-22.
    10. Schelfout K, Tjalma WA, Cooremans ID, Coeman DC, Colpaert CG, Buytaert PM. Observations of an idiopathic granulomatous mastitis. European Journal of Obstetrics & Gynecology and Reproductive Biology 2001; 97(2):260-2.
    11. Kim J, Tymms KE, Buckingham JM. Methotrexate in the management of granulomatous mastitis. ANZ journal of surgery 2003; 73(4):247-9.
    12. Taylor GB, Paviour SD, Musaad S, Jones WO, Holland DJ. A clinicopathological review of 34 cases of inflammatory breast disease showing an association between corynebacteria infection and granulomatous mastitis. Pathology 2003; 35(2):109-19.
    13. Ghaedi M, Feiz F, Kalani N, Hatami N, Haghbeen M. The relationship between age of disease onset and prognosis of breast cancer in women. Iran J Obstet Gynecol Infertil 2023; 25(12):22-32.
    14. Haghbin M, Rafei E, Kalani N. Demographic characteristics and body mass index in women with breast fibroadenoma and compare with healthy women referred to Khatam Al-Anbia Clinic in Jahrom in 2019.
    15. Kadivar M, Rashidian S, Jolaii A, Dabiran S. The frequency of idiopathic granulomatous mastitis and the underlying factors in recent 5-year period 2016:18-26.
    16. Yildiz S, Aralasmak A, Kadioglu H, Toprak H, Yetis H, Gucin Z, et al. Radiologic findings of idiopathic granulomatous mastitis. Medical Ultrasonography 2015; 17(1):39-44.
    17. Yılmaz TU, Gürel B, Güler SA, Baran MA, Erşan B, Duman S, et al. Scoring idiopathic granulomatous mastitis: an effective system for predicting recurrence?. European journal of breast health 2018; 14(2):112.
    18. Makki K, Froguel P, Wolowczuk I. Adipose tissue in obesity-related inflammation and insulin resistance: cells, cytokines, and chemokines. International Scholarly Research Notices 2013; 2013.
    19. Sheybani F, Naderi H, Gharib M, Sarvghad M, Mirfeizi Z. Idiopathic granulomatous mastitis: Long-discussed but yet-to-be-known. Autoimmunity 2016; 49(4):236-9.
    20. Azizi A, Prasath V, Canner J, Gharib M, Sadat Fattahi A, Naser Forghani M, et al. Idiopathic granulomatous mastitis: Management and predictors of recurrence in 474 patients. The breast journal 2020; 26(7):1358-62.
    21. Omranipour R, Mohammadi SF, Samimi P. Idiopathic granulomatous lobular mastitis-report of 43 cases from iran; introducing a preliminary clinical practice guideline. Breast care 2013; 8(6):439-43.
    22. Gurleyik G, Aktekin A, Aker F, Karagulle H, Saglamc A. Medical and surgical treatment of idiopathic granulomatous lobular mastitis: a benign inflammatory disease mimicking invasive carcinoma. Journal of breast cancer 2012; 15(1):119-23.
    23. Altintoprak F, Karakece E, Kivilcim T, Dikicier E, Cakmak G, Celebi F, et al. Idiopathic granulomatous mastitis: an autoimmune disease?. The Scientific World Journal 2013; 2013.
    24. Uysal E, Soran A, Sezgin E, Granulomatous Mastitis Study Group. Factors related to recurrence of idiopathic granulomatous mastitis: what do we learn from a multicentre study?. ANZ journal of surgery 2018; 88(6):635-9.
    25. Lin CH, Hsu CW, Tsao TY, Chou J. Idiopathic granulomatous mastitis associated with risperidone-induced hyperprolactinemia. Diagnostic pathology 2012; 7(1):1-6.
    26. Baslaim MM, Khayat HA, Al-Amoudi SA. Idiopathic granulomatous mastitis: a heterogeneous disease with variable clinical presentation. World journal of surgery 2007; 31:1677-81.
    27. Çetinkaya ÖA, Çelik SU, Terzioğlu SG, Eroğlu A. The predictive value of the neutrophil-to-lymphocyte and platelet-to-lymphocyte ratio in patients with recurrent idiopathic granulomatous mastitis. European Journal of Breast Health 2020; 16(1):61.