Evidence map›Paper›PMID 42620334›Full record

ArticleFrontiers in immunology2026

Idiopathic granulomatous mastitis with GMENA syndrome: clinical features, glucocorticoid response, and prognosis - a 12-year retrospective cohort study from a single center.

Pin Wang, Quanling Ou, Ling Li, Ying Liu, Jian Wu

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Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Pin WangDepartment of General Surgery, The Third People's Hospital of Chengdu, Chengdu, China.
Quanling OuDepartment of General Surgery, The Third People's Hospital of Chengdu, Chengdu, China.
Ling LiDepartment of Pathology, The Third People's Hospital of Chengdu, Chengdu, China.
Ying LiuDepartment of Ultrasound, The Third People's Hospital of Chengdu, Chengdu, China.
Jian WuDepartment of General Surgery, The Third People's Hospital of Chengdu, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: GMENA syndrome (granulomatous mastitis, erythema nodosum, with or without arthritis syndrome) is a rare subtype of idiopathic granulomatous mastitis (IGM). However, large cohort studies systematically evaluating its clinical features, response to glucocorticoid therapy, and prognosis are lacking. Methods: This single-center retrospective cohort study included 201 patients diagnosed with IGM at the Third People's Hospital of Chengdu between January 2014 and January 2026. Among them, 20 patients presented with GMENA syndrome (GMENA group) and the remaining 181 served as the control group. Demographic characteristics, lesion features, laboratory findings, and treatment outcomes were collected for both groups. The two groups were compared regarding glucocorticoid treatment response (early improvement and total treatment duration) and recurrence rate. Results: Compared with the control group, GMENA patients were younger at onset (31-40 years: 80.0% vs. 49.7%, Conclusion: GMENA syndrome is a distinct clinical subtype of IGM characterized by acute onset, more severe breast involvement, rapid initial response to glucocorticoids, and, after an adequate prolonged course, favorable long-term outcomes with low recurrence. Early recognition and a treatment strategy of prompt initiation followed by sufficient consolidation are recommended to avoid unnecessary surgery.

Indexed as

ArthritisErythema NodosumGlucocorticoidsGranulomatous MastitisAdultFemaleHumansMiddle AgedPrognosisRecurrenceRetrospective StudiesSyndromeTreatment OutcomeYoung AdultGlucocorticoidserythema nodosumglucocorticoidsGMENA syndromeidiopathic granulomatous mastitisrecurrence

Identifiers

PMID42620334
PMCPMC13485743

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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.