Radiologic Findings of Granulomatous Mastitis
Journal of the Korean Radiological Society
;
: 131-139, 2008.
Article
in Korean
| WPRIM
| ID: wpr-157938
ABSTRACT
PURPOSE:
To describe the radiologic findings of granulomatous mastitis of the breast. MATERIALS ANDMETHODS:
This study included 19 patients (age range 22 to 56 years; mean 37 years) with 22 lesions that were pathologically confirmed as having granulomatous mastitis. All the patients underwent a breast ultrasonography and 13 patients underwent a mammography.RESULTS:
The results of the mammography revealed focal asymmetry (n=9), multiple ill-defined isodense nodules (n=2), ill-defined nodular density on a craniocaudal view (n=1), and unremarkable finding (n=1). The sonographic findings included continuous or discontinuous multiple tubular and nodular low echoic lesions (n=7), ill-defined heterogeneously low echoic lesion (n=5), irregular-shaped, ill-defined low echoic mass (n=4), fluid collection with internal floating materials suggesting the presence of an abscess (n=4), ill-defined heterogeneously low echoic lesion and abscess (n=1), and multiple ill-defined nodules (n=1).CONCLUSION:
In the case of granulomatous mastitis, the mammography results indicate a lack of specificity between normal findings and focal asymmetry. The sonographic findings indicate that ill-defined heterogeneously low echoic lesions or irregularly shaped, ill-defined low echoic masses are difficult to differentiate from breast cancer. The sonographic findings of abscesses indicate a difficulty in differentiating them from cases of pyogenic mastitis. However, multiple tubular and nodular low echoic lesions, especially with a continuous appearance, should point to granulomatous mastitis, and is helpful in its differential diagnosis and treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Breast Diseases
/
Breast Neoplasms
/
Mammography
/
Ultrasonography, Mammary
/
Sensitivity and Specificity
/
Diagnosis, Differential
/
Abscess
/
Granulomatous Mastitis
/
Granuloma
/
Mastitis
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
2008
Type:
Article
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