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03 - MASTITE GRANULOMATOSA NA GESTAÇÃO E LACTAÇÃO: DESAFIOS NO DIAGNÓSTICO DIFERENCIAL, MANIFESTAÇÕES SISTÊMICAS E MANEJO TERAPÊUTICO

Doi: 10.47094/978-65-284-0587-9/30-35

PALAVRAS CHAVE: Obstetrícia. Parto (Obstetrícia) - Aspectos psicológicos. Enfermagem obstétrica. Gravidez. Humanização dos serviços de saúde.

KEYWORDS: Obstetrics. Childbirth (Obstetrics) – Psychological aspects. Obstetric nursing. Pregnancy. Humanization of health services.

ABSTRACT:
1. INTRODUCTION: THE COMPLEXITY OF NON-PUERPERAL MASTITIS
Managing breast masses and inflammatory processes during the pregnancy-postpartum cycle presents a frequent clinical challenge in obstetrics. Although acute infectious mastitis associated with milk stasis accounts for the majority of postpartum cases, the occurrence of chronic, painful inflammatory lesions that are refractory to conventional antibiotic therapy necessitates the investigation of rare conditions—most notably Idiopathic Granulomatous Mastitis (IGM) and its variants (RAMADAN; KORYEM; FAYED, 2022; IVANICKA; KASCÁK, 2022).
Granulomatous mastitis is an uncommon benign inflammatory disease that predominantly affects women of childbearing age with a recent history of pregnancy and lactation (DING et al., 2021; LI et al., 2021). Histologically characterized by non-caseating granulomas confined to the breast lobules, the condition often mimics inflammatory breast carcinoma or recurrent bacterial abscesses, leading to diagnostic delays and unnecessary surgical interventions (CHALMERS et al., 2020; YAPRAK BAYRAK et al., 2021).
During pregnancy, hormonal and immunological changes can accelerate nodule progression, cause cutaneous fistulization, and trigger atypical systemic manifestations (MIYAHARA et al., 2024; ZAOUAK et al., 2023). This chapter offers a theoretical and practical analysis of the management of granulomatous mastitis associated with pregnancy and lactation, integrating current scientific evidence with the care-related challenges encountered in obstetric clinical practice.

Autores

  • Dulce Maria Cardoso da Silva

  • Elisângela da Silva Morais

  • Francisca Lenice Pinto

  • Francisca Leonilda Sampaio Rodrigues

  • Francisca Moraes da Silva

  • Maria Betânia da Silva

  • Maria Edna da Silva Bandeira

  • Maria Marcolina Silva

  • Maria do Socorro Silva de Brito

  • Marli de Oliveira Nunes

  • Mary Grace Magalhães de Araújo

  • Michelle Leane Santana da Silva

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