Lupus Mastitis in a Young Female Mimicking a Breast Carcinoma; a Rare Entity Through a Case Report and Review of the Literature.

European journal of breast health Pub Date : 2021-12-30 eCollection Date: 2022-01-01 DOI:10.4274/ejbh.galenos.2021.6361
Ayşenur Oktay, Habib Ahmad Esmat, Özge Aslan, Ismayil Mirzafarli
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引用次数: 2

Abstract

Lupus mastitis (LM) is a rare presentation of lupus panniculitis (LP) that usually affects women of childbearing age and may mimic malignancy. The condition is recurrent and progresses along with the underlying disease. Breast pathology that may be associated with LM includes fat necrosis, calcification, fibrosis, scarring, and breast atrophy. Therefore, LM should be considered in the differential diagnosis of a suspicious breast mass on mammography or ultrasound, particularly if the patient has a background of systemic lupus erythematosus (SLE) or discoid lupus erythematosus (DLE). Traumatic procedures such as surgery or biopsy may worsen the condition and it is advisable to avoid biopsy if the diagnosis can be established through accurate patient history, with identification of typical clinical and radiological features. Thus, awareness of the radiologic and clinical features of LM is essential to avoid unnecessary interventional procedures that carry the potential for disease exacerbation. The authors present here the imaging findings of LM in a 37-year old female with SLE, which presented as bilateral palpable breast lumps.

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模拟乳腺癌的年轻女性狼疮性乳腺炎一个罕见的实体:个案报告及文献回顾。
狼疮性乳腺炎(LM)是一种罕见的狼疮性全身炎(LP)的表现,通常影响育龄妇女,可能模仿恶性肿瘤。这种情况是反复发作的,并随着潜在疾病的发展而发展。与LM相关的乳腺病理包括脂肪坏死、钙化、纤维化、瘢痕形成和乳房萎缩。因此,在乳房x光检查或超声检查中,鉴别诊断可疑肿块时应考虑LM,特别是当患者有系统性红斑狼疮(SLE)或盘状红斑狼疮(DLE)背景时。手术或活检等创伤性手术可能使病情恶化,如果可以通过准确的患者病史并确定典型的临床和放射学特征来确定诊断,则建议避免活检。因此,了解LM的放射学和临床特征对于避免不必要的介入治疗至关重要,因为介入治疗可能会导致疾病恶化。作者在此报告一位37岁女性SLE患者的LM影像学表现,表现为双侧可触及的乳房肿块。
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