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Case Reports in Endocrinology
Volume 2017, Article ID 3974291, 4 pages
Case Report

Pituitary Adenoma and Hyperprolactinemia Accompanied by Idiopathic Granulomatous Mastitis

1Department of General Surgery, Bezmialem Vakıf University School of Medicine, Istanbul, Turkey
2General Surgery Department, Edremit Government Hospital, Edremit, 10300 Balikesir, Turkey
3Biochemistry Department, Edremit State Hospital, Edremit, 10300 Balikesir, Turkey
4General Surgery Department, Liv Hospital, Ulus, Istanbul, Turkey

Correspondence should be addressed to Vahit Onur Gul; moc.liamtoh@lugrunov

Received 28 November 2016; Revised 25 January 2017; Accepted 26 January 2017; Published 22 February 2017

Academic Editor: John Broom

Copyright © 2017 Sebahattin Destek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Idiopathic granulomatous mastitis (IGM) is a rare chronic inflammatory disease of the breast, and its etiology remains not fully elucidated. IGM is observed more often in patients with autoimmune disease. Hyperprolactinemia is observed during pregnancy, lactation, and a history of oral contraceptive use. A 39-year-old patient with no history of oral contraceptive use presented with complaints such as redness, pain, and swelling in her left breast. Ultrasound and magnetic resonance imaging (MRI) revealed a suspicious inflamed mass lesion. Core biopsy was performed to exclude breast cancer and to further diagnose. The breast abscess was drained and steroids were given for treatment. In order to monitor any progression during the three months of treatment, hormone levels were routinely examined. Prolactin level was above the reference range, and pituitary MRI revealed a pituitary prolactinoma. After treatment with prolactin inhibitors, IGM also improved with hyperprolactinemia. This report emphasizes attention to hyperprolactinemia in cases of IGM diagnosis and treatment.