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Suggest Treatment For Mastitis

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Posted on Mon, 4 Jul 2016
Question: Hi. My sister who lives in Germany has been detected with Breast Mastitis. She was neither pregnant nor lactating. Her mastitis is the kind that happens to non-lactating women. The infection has been converted int granules making her right breast hard and painful. Her biopsy didn't show any malignancy. The doctors after biopsy suggested that no surgery was required. But recently after a month, a doctor suggested that surgery was inevitable and drainage wasn't possible. What's the harm in not doing surgery now? Is there any alternative? Is it possible to cure mastitis with a prolonged treatment where breast removal isn't necessary?
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Answered by Dr. Dr. Ivan Romich (25 minutes later)
Brief Answer:
In most cases yes

Detailed Answer:
Hi and welcome.
Surgical removal of breast is the last option for mastitis which is usually treated with antibiotic course and needle drainage. If this doesn't work then small surgical procedure of affected duct removal may be performed. Larger procedures are rarely necessary as I said and usually reserved for patients with suspicion of malignancy and usually includes just partial breast resection. However in prolonged inflammation, which doesn't improve on conservative measures, this may be the only option but more extensive work up should be done including MRI and ductography. This may verify affected duct which then can be removed through small incision or by interventional radiologist. This can be done in more specialized centres. Also to mention, although you are young, mastitis which isn't easy curable should always be precisely investigated to rule out some more serious underlying disease. Wish you good health. Regards
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13888 Questions

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Suggest Treatment For Mastitis

Brief Answer: In most cases yes Detailed Answer: Hi and welcome. Surgical removal of breast is the last option for mastitis which is usually treated with antibiotic course and needle drainage. If this doesn't work then small surgical procedure of affected duct removal may be performed. Larger procedures are rarely necessary as I said and usually reserved for patients with suspicion of malignancy and usually includes just partial breast resection. However in prolonged inflammation, which doesn't improve on conservative measures, this may be the only option but more extensive work up should be done including MRI and ductography. This may verify affected duct which then can be removed through small incision or by interventional radiologist. This can be done in more specialized centres. Also to mention, although you are young, mastitis which isn't easy curable should always be precisely investigated to rule out some more serious underlying disease. Wish you good health. Regards