The Breast xxx (2016) 1

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Correspondence

Reply to “Granulomatous Mastitis e More data are needed” associated with treatment failure. It would be pleased for us to use your experience. Best regards Keywords: Granulomatous mastitis Corticosteroids Methotrexate Treatment failure

Manouchehr Aghajanzadeh Department of Surgery, Guilan University of Medical Sciences, Rasht, Iran Rasool Hassanzadeh* Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran

Dear colleague Thank you very much for reading our article. As you know, sometimes many large Granulomatous Mastitis (GM) breast lumps are not resolved with single course corticosteroids. We saw better treatment response with prescription combination of corticosteroids with methotrexate or bromocriptine or increase dosage of corticosteroids and if needed frequent aspiration of masses. In our investigation, we found use of OCP for a long time, recently breastfeeding, GM in both breasts and underlying diseases such as sarcoidosis, cushing syndrome … as the most risk factors

Soheila Alizadeh Sefat Department of Surgery, Guilan University of Medical Sciences, Rasht, Iran *

Corresponding author. Student Research Committee Office and Education Development Office, Faculty of Medicine/Guilan University of Medical Sciences, 6th km. Tehran Road, Rasht, Iran. Tel.: þ98 911 2335331; fax: þ98 131 6690036. E-mail address: [email protected] (R. Hassanzadeh). 2 January 2016 Available online xxx

DOI of original article: http://dx.doi.org/10.1016/j.breast.2015.12.006. http://dx.doi.org/10.1016/j.breast.2016.01.001 0960-9776/© 2016 Elsevier Ltd. All rights reserved.

Please cite this article in press as: Aghajanzadeh M, et al.Reply to “Granulomatous Mastitis e More data are needed”, The Breast (2016), http:// dx.doi.org/10.1016/j.breast.2016.01.001

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