Idiopathic Granulomatous Lobular Mastitis: A Case Report.

HCA healthcare journal of medicine Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI:10.36518/2689-0216.1684
Wendy M Timirau, Esra Sari, Maham Shahid, Nilmarie Guzman, Augusto Villegas
{"title":"Idiopathic Granulomatous Lobular Mastitis: A Case Report.","authors":"Wendy M Timirau, Esra Sari, Maham Shahid, Nilmarie Guzman, Augusto Villegas","doi":"10.36518/2689-0216.1684","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Idiopathic granulomatous mastitis (IGM), also known as nonpuerperal mastitis or granulomatous lobular mastitis, is a rare, benign, chronic inflammatory breast disease first characterized in 1972. IGM is characterized by sterile noncaseating lobulocentric granulomatous inflammation, usually affecting parous premenopausal women with a history of lactation.</p><p><strong>Case presentation: </strong>We present a 38-year-old African American woman presenting to our continuity clinic complaining of a painful right breast mass discovered during a self-breast examination. An initial right breast ultrasound demonstrated an area of concern with asymmetry, architectural distortion, and a questionable mass correlating to a 5.1 cm hypoechoic mass at the 12:30 position. Additionally, a mammogram showed a suspicious, indeterminate, large hypoechoic region or mass with angular margins measuring 5.1 x 1.7 x 3.7 cm with slight internal vascularity. An ultrasound-guided stereotactic biopsy revealed extensive mixed inflammatory and focal granulomatous lobular mastitis.</p><p><strong>Conclusion: </strong>Idiopathic granulomatous mastitis is a rare disorder that often mimics breast malignancies and infectious processes. This case highlights the need for further research on IGM pathogenesis to prevent unnecessary life-altering therapeutic procedures and bring awareness to the medical community.</p>","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404587/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HCA healthcare journal of medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36518/2689-0216.1684","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Idiopathic granulomatous mastitis (IGM), also known as nonpuerperal mastitis or granulomatous lobular mastitis, is a rare, benign, chronic inflammatory breast disease first characterized in 1972. IGM is characterized by sterile noncaseating lobulocentric granulomatous inflammation, usually affecting parous premenopausal women with a history of lactation.

Case presentation: We present a 38-year-old African American woman presenting to our continuity clinic complaining of a painful right breast mass discovered during a self-breast examination. An initial right breast ultrasound demonstrated an area of concern with asymmetry, architectural distortion, and a questionable mass correlating to a 5.1 cm hypoechoic mass at the 12:30 position. Additionally, a mammogram showed a suspicious, indeterminate, large hypoechoic region or mass with angular margins measuring 5.1 x 1.7 x 3.7 cm with slight internal vascularity. An ultrasound-guided stereotactic biopsy revealed extensive mixed inflammatory and focal granulomatous lobular mastitis.

Conclusion: Idiopathic granulomatous mastitis is a rare disorder that often mimics breast malignancies and infectious processes. This case highlights the need for further research on IGM pathogenesis to prevent unnecessary life-altering therapeutic procedures and bring awareness to the medical community.

特发性肉芽肿性小叶乳腺炎:病例报告
导言:特发性肉芽肿性乳腺炎(IGM)又称非产褥期乳腺炎或肉芽肿性小叶乳腺炎,是一种罕见的良性慢性炎症性乳腺疾病,1972年首次发现。IGM 的特征是无菌性非脓疱性小叶中心肉芽肿性炎症,通常影响有哺乳史的绝经前女性:病例介绍:我们接诊了一名 38 岁的非裔美国妇女,她主诉在自我乳房检查时发现右侧乳房肿块,疼痛难忍。最初的右侧乳房超声波检查显示,该区域存在不对称、结构变形和可疑肿块,与 12:30 位置的 5.1 厘米低回声肿块相关。此外,乳房 X 光检查显示有一个可疑的、不确定的、大的低回声区域或肿块,边缘呈角状,大小为 5.1 x 1.7 x 3.7 厘米,内部有轻微血管。超声引导下的立体定向活检显示出广泛的混合性炎症和局灶性肉芽肿性小叶乳腺炎:特发性肉芽肿性乳腺炎是一种罕见的疾病,常与乳腺恶性肿瘤和感染过程相似。本病例强调了进一步研究特发性肉芽肿性乳腺炎发病机制的必要性,以防止不必要的改变生命的治疗过程,并提高医学界的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信