Abstract
Mastitis is an inflammatory condition of the breast, which may or may not be accompanied by infection (WHO 2000).Idiopathic granulomatous mastitis is one of the forms of non-infectious mastitis. Granulomatous lobular mastitis is a rare inflammatory disease of the breast that was first described by Kessler and Wolloch in 1972.Idiopathic granulomatous mastitis (IGM) or granulomatous lobular mastitis is chronic inflammatory breast disease of unknown etiology, the clinical manifestation and radiological features of which may mimic other nosological entities.We report a case of 29 year old woman who was diagnosed with breast carcinoma by radiological methods, such as contrast enhanced spectral mammography (CESM), magnetic resonance imaging with dynamic contrast enhancement (MRI with DCE), SPECT/CT. However, performed core needle biopsy of a lesion shows no tumor cells. The conservative treatment was suggested, based on obtained information.Aim is a review of radiological features of IGM with contrast enhanced visualization methods, based on our clinical case; description of differential radiological features in comparison with similar diseases of the breast, such as inflammatory breast carcinoma, tuberculosis etc.
Highlights
Mastitis is an inflammatory condition of the breast
a rare inflammatory disease of the breast that was first described by Kessler
Clinical СasesA.V. Chernaya1, A.V. Reva2, R.Kh. Ulianova1, L.N. Shevkunov1, P.V. Krivorotko1, S.A. Tyatkov1, S.A. Gharibyan1, V.V. Danilov1, A.S. Petrova1, E.K. Zhiltsova1, P.I. Krzhivitskii1, V.O. Smirnova1, A.N. Zaitsev1 1 N.N. Petrov National Medical Research Centre of Oncology, 68, Leningradskaya street, Pesochny, St. Petersburg, Russia 1977581 2 V.A. Almazov National Medical Research Centre, 2 Akkuratova street, St. Petersburg, Russia 197341
Summary
Мастит — воспалительное заболевание молочной железы, которое может сопровождаться инфекционным процессом или может протекать без него. Целью работы является обзор лучевой картины ИГМ при использовании методов визуализации с контрастированием на примере конкретного случая и описание соответствующих дифференциальнодиагностических признаков с другими схожими заболеваниями молочных желез, такими как воспалительные формы рака молочной железы, туберкулёз и др. Для цитирования: Черная А.В., Рева А.В., Ульянова Р.Х., Шевкунов Л.Н., Криворотько П.В., Тятьков С.А., Гарибян С.А., Данилов В.В., Петрова А.С., Жильцова Е.К., Крживицкий П.И., Смирнова В.О., Зайцев А.Н. Мастит — это воспалительное заболевание молочной железы (МЖ), которое может сопровождаться инфекционным процессом или может протекать без него. Что наличие абсцесса при клиническом исследовании и/или визуализации не является противопоказанием к выполнению биопсии, если имеется подозрение на злокачественный процесс, который тоже может формировать жидкостную полость [14].
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