Evidence map›Paper›PMID 39410007›Full record

ReviewCancers2024

Idiopathic Granulomatous Mastitis as a Benign Condition Mimicking Inflammatory Breast Cancer: Current Status, Knowledge Gaps and Rationale for the GRAMAREG Study (EUBREAST-15).

Natalia Krawczyk, Thorsten Kühn, Nina Ditsch, Steffi Hartmann, Oreste Davide Gentilini, Annette Lebeau, Jana de Boniface, Markus Hahn, Güldeniz Karadeniz Çakmak, Sadaf Alipour and 7 more

Abstract readReview
In one paragraph

Review in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
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  14. [Idiopathic granulomatous mastitis: report of 10 cases].The Pan African medical journal · 2025
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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

17 authors.

Natalia KrawczykDepartment of Gynecology and Obstetrics, University Hospital Duesseldorf, 40225 Duesseldorf, Germany.ORCID 0000-0003-0319-486X
Thorsten KühnDepartment of Gynecology and Obstetrics, University of Ulm, 89070 Ulm, Germany.ORCID 0000-0002-8708-2824
Nina DitschBreast Cancer Center, University Hospital Augsburg, 86156 Augsburg, Germany.
Steffi HartmannDepartment of Gynecology and Obstetrics, University Hospital Rostock, 18059 Rostock, Germany.ORCID 0000-0002-0145-1589
Oreste Davide GentiliniDepartment of Breast Surgery, San Raffaele University and Research Hospital, 20132 Milan, Italy.ORCID 0000-0002-4489-1867
Annette LebeauInstitute of Pathology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Jana de BonifaceDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID 0000-0001-9518-0902
Markus HahnDepartment for Women's Health, University of Tübingen, 72076 Tübingen, Germany.ORCID 0000-0003-3693-9100
Güldeniz Karadeniz ÇakmakBreast and Endocrine Unit, General Surgery Department, Zonguldak BEUN The School of Medicine, Zonguldak 67600, Türkiye.ORCID 0000-0001-5802-4441
Sadaf AlipourBreast Diseases Research Center, Cancer Institute, School of Medicine, Tehran University of Medical Sciences, Tehran 1419733141, Iran.
Vesna Bjelic-RadisicThe Breast Unit, Helios University Hospital Wuppertal, University Witten-Herdecke, 42283 Wuppertal, Germany.
Hans-Christian KolbergDepartment for Gynecology and Obstetrics, Marienhospital Bottrop, 46236 Bottrop, Germany.ORCID 0000-0003-0221-3272
Toralf ReimerDepartment of Gynecology and Obstetrics, University Hospital Rostock, 18059 Rostock, Germany.ORCID 0000-0003-3014-370X
Maria Luisa GasparriDepartment of Gynecology and Obstetrics, Ospedale Regionale di Lugano EOC, 6900 Lugano, Switzerland.
Nikolas TauberDepartment of Gynecology and Obstetrics, University Hospital Schleswig-Holstein Campus Lübeck, 23538 Lübeck, Germany.ORCID 0009-0001-4592-2151
Melissa NeubacherDepartment of Gynecology and Obstetrics, University Hospital Duesseldorf, 40225 Duesseldorf, Germany.ORCID 0000-0001-8317-0635
Maggie Banys-PaluchowskiDepartment of Gynecology and Obstetrics, University Hospital Schleswig-Holstein Campus Lübeck, 23538 Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic granulomatous mastitis (IGM) is a rare, benign inflammatory breast condition often mistaken for inflammatory breast cancer and, therefore, requires a biopsy for accurate diagnosis. Although not cancerous, IGM can cause emotional distress because of severe pain and ensuing breast deformity. Differentiating IGM from other breast inflammations caused by infections is essential. IGM mostly affects premenopausal women and is potentially associated with recent pregnancies and breastfeeding. The risk factors, including smoking and contraceptive use, have inconsistent associations. Steroid responses suggest an autoimmune component, though specific markers are lacking.

methodsWe performed a narrative review on potential risk factors, diagnostics, and therapy of IGM.

resultsDiagnostics and clinical management of IGM are challenging. The treatment options include NSAIDs, steroids, surgery, antibiotics, immunosuppressants, prolactin suppressants, and observation, each with varying effectiveness and side effects.

conclusionsCurrent IGM treatment evidence is limited, based on case reports and small series. There is no consensus on the optimal management strategy for this disease. The GRAMAREG study by the EUBREAST Study Group aims to collect comprehensive data on IGM to improve diagnostic and treatment guidelines. By enrolling patients with confirmed IGM, the study seeks to develop evidence-based recommendations, enhancing patient care and understanding of this condition.

Indexed as

breast inflammationidiopathic granulomatous mastitisimmunosuppressantsmethotrexatesteroidssurgery

Identifiers

PMID39410007
PMCPMC11476029

What OpenQuestion holds

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Registered trials

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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.