Evidence map›Paper›PMID 39323266›Full record

ArticleEuropean journal of breast health2024

The Use of Intralesional Corticosteroids in Idiopathic Granulomatous Mastitis: A Systematic Review.

Asel Wijesinghe, Kasun Lakmal, Jeewantha Senevirathna, Bhanu Wijetilake, J L T K Fernando, Umesh Jayarajah, Ajith De Silva, Kanchana Wijesinghe

Abstract read
In one paragraph

Article in European journal of breast health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Asel WijesingheDepartment of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.ORCID 0000-0003-1265-0425
Kasun LakmalUniversity of Surgical Unit, Colombo South Teaching Hospital, Colombo, Sri Lanka.ORCID 0000-0003-1265-0425
Jeewantha SenevirathnaUniversity of Surgical Unit, Colombo South Teaching Hospital, Colombo, Sri Lanka.ORCID 0000-0003-0471-9218
Bhanu WijetilakeDepartment of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.ORCID 0009-0004-9710-0936
J L T K FernandoDepartment of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.ORCID 0009-0004-7248-227x
Umesh JayarajahDepartment of Surgery, Faculty of Medicine, Colombo, Sri Lanka.ORCID 0000-0002-0398-5197
Ajith De SilvaDepartment of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka.ORCID 0009-0008-6366-4564
Kanchana WijesingheDepartment of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.ORCID 0000-0001-8151-3366

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idiopathic granulomatous mastitis (IGM) is a debilitating, chronic, inflammatory condition of the breast. Several studies have emerged evaluating intralesional steroid (ILS) injection and topical steroid administration as a treatment for IGM. However, there is a dearth of international consensuses with regards to the management of IGM. Therefore, we have systematically reviewed the effectiveness of ILS in the management of IGM. A systematic search was conducted in PubMed and Cochrane Library databases, the Google Scholar website and by citation searching up to June 15th, 2023. Eight articles were selected and analyzed. A total of 397 IGM patients were included in the review. The mean patient age was 35.7 years, ranging from 23-62 years. The mean pre-treatment diameter of lesions was 27.5 mm. A total of 184 patients were treated with ILS. The mean complete clinical response time was 2.6 months. The overall complete response rate was 92.8%. Complications following ILS were minor, with hematoma, skin atrophy and hyperemia being commonly described, while avoiding the systemic side effects of oral steroid use, such as weight gain and hirsutism, which were the most commonly reported side effects with oral steroids. The recurrence rates in the ILS group (6.6%) appear to be lower than in the oral steroid group (25.8%) and surgery group (26.3%). ILS seem to show a favorable outcome in terms of complete response rate, complete clinical response time and has a lower recurrence rate and complication rate when compared to other intervention strategies. However, more comparative studies with standardized protocols are necessary to ascertain the optimum type, dosage and frequency of ILS regimens.

Indexed as

corticosteroidsIdiopathic granulomatous mastitisintralesional steroid

Identifiers

PMID39323266
PMCPMC11589185

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.