Medical and Surgical Treatment for Idiopathic Granulomatous Mastitis

NCT ID: NCT02959580

Last Updated: 2018-12-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2020-09-30

Brief Summary

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This study evaluates the clinical response rate of topical steroids in the treatment of idiopathic granulomatous mastitis in female adults. Half of the participants will receive topical steroid and the other half will receive local wide surgical excision.

Detailed Description

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Idiopathic granulomatous mastitis (IGM) is a rare benign inflammatory breast disease of unknown etiology.It may present with many findings that clinically and radiologically mimic breast cancer.

Although IGM as a disease has been known for nearly four decades, the optimal treatment approach has not been established. Surgical intervention in the form of wide surgical excision was the mainstay of treatment before 1980, and is still performed depending on local expertise and preference.

Currently,surgical treatment and systemic steroid treatment are frequently employed. With the consideration of side effects of longterm systemic (oral) steroid usage, topical steroid without systemic use were assessed and showed satisfactory curative effect. But the data concerning the use of topical steroid therapy are still very limited.

Conditions

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Granulomatous Mastitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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medical

Hydrocortisone butyrate cream(0.1%) was applied to the breast by the patient twice a day on alternate days until the termination of treatment.

Group Type EXPERIMENTAL

Hydrocortisone Butyrate

Intervention Type DRUG

topical use

surgical

lesion extended excision

Group Type ACTIVE_COMPARATOR

extended excision

Intervention Type PROCEDURE

Lesion extended excision with or without a random breast dermo-glandular flap (BDGF).

Interventions

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Hydrocortisone Butyrate

topical use

Intervention Type DRUG

extended excision

Lesion extended excision with or without a random breast dermo-glandular flap (BDGF).

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Idiopathic Granulomatous Mastitis

Exclusion Criteria

* Breast Carcinoma
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Qiang Sun, master

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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Department of Breast Surgery,Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yanna Zhang, M.D.

Role: CONTACT

86-10-69158703

Facility Contacts

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Qiang Sun, Master

Role: primary

86-010-69158720

Yanna Zhang, Doctor

Role: backup

86-010-69158703

References

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Altintoprak F, Kivilcim T, Yalkin O, Uzunoglu Y, Kahyaoglu Z, Dilek ON. Topical Steroids Are Effective in the Treatment of Idiopathic Granulomatous Mastitis. World J Surg. 2015 Nov;39(11):2718-23. doi: 10.1007/s00268-015-3147-9.

Reference Type BACKGROUND
PMID: 26148520 (View on PubMed)

Sheybani F, Naderi HR, Gharib M, Sarvghad M, Mirfeizi Z. Idiopathic granulomatous mastitis: Long-discussed but yet-to-be-known. Autoimmunity. 2016 Jun;49(4):236-9. doi: 10.3109/08916934.2016.1138221. Epub 2016 Feb 1.

Reference Type BACKGROUND
PMID: 26829298 (View on PubMed)

Benson JR, Dumitru D. Idiopathic granulomatous mastitis: presentation, investigation and management. Future Oncol. 2016 Jun;12(11):1381-94. doi: 10.2217/fon-2015-0038. Epub 2016 Apr 12.

Reference Type BACKGROUND
PMID: 27067146 (View on PubMed)

Other Identifiers

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PUMCH-breast-mastitis

Identifier Type: -

Identifier Source: org_study_id

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