Chronic non-lactational granulomatous mastitis treated with local negative pressure

In the given clinical observation, the authors discuss management of a patient with chronic non-lactational mastitis.A 42-year-old patient with chronic non-lactational granulomatous mastitis had conservative antibiotic therapy for more than a month. During this period, chronic mastitis was diagnosed twice with core biopsy. Ultrasound and mammography examination demonstrated the enlargement of inflammation area. Delayed surgical treatment and specific anatomic structure of the gland, in particular, its ductal structure, high content of adipose tissue, caused the enlargement of the affected area after which half of the tissue volume had to be incised.After surgery, the patient was prescribed a complex therapy for 1.5 months including physical processing of the wound (ozone-oxygen mixture, NO-flows, negative pressure therapy (NPWT)).For more than three years of follow-up, the patient had no disease recurrences. The applied complex treatment allowed to get a stable aesthetically acceptable result.