An Unusual Case of Bilateral Granulomatous Mastitis

Idiopathic granulomatous mastitis (IGM) is an uncommon benign disorder of the breast. At clinical examination, IGM is characterized by an inflammatory process of the breast, usually unilateral. Possible clinical findings are palpable mass with erythematous skin, pain, sterile abscesses, fistula and...

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Main Authors: C. A. Pistolese, R. Di Trapano, V. Girardi, E. Costanzo, I. Di Poce, G. Simonetti
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2013/694697
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author C. A. Pistolese
R. Di Trapano
V. Girardi
E. Costanzo
I. Di Poce
G. Simonetti
author_facet C. A. Pistolese
R. Di Trapano
V. Girardi
E. Costanzo
I. Di Poce
G. Simonetti
author_sort C. A. Pistolese
collection DOAJ
description Idiopathic granulomatous mastitis (IGM) is an uncommon benign disorder of the breast. At clinical examination, IGM is characterized by an inflammatory process of the breast, usually unilateral. Possible clinical findings are palpable mass with erythematous skin, pain, sterile abscesses, fistula and nipple retraction. Mammography and ultrasound findings are not specific for IGM. Magnetic resonance imaging (MRI) is a useful tool for the differential diagnosis; it is also necessary to delineate the exact extension of the disease and to plan the correct treatment. Final diagnosis is histological. We described an unusual case of IGM with bilateral involvement in a patient with history of pacemaker implantation and IGM typical clinical symptoms. Mammography, ultrasound, and MRI examinations were performed to identify the inflammatory disorder and to plan the correct therapy. Imaging features were correlated with final histological diagnosis of IGM.
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spelling doaj-art-21ea1edf8c65450989ad4310745c4bb12025-02-03T01:27:35ZengWileyCase Reports in Radiology2090-68622090-68702013-01-01201310.1155/2013/694697694697An Unusual Case of Bilateral Granulomatous MastitisC. A. Pistolese0R. Di Trapano1V. Girardi2E. Costanzo3I. Di Poce4G. Simonetti5Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital Tor Vergata, Viale Oxford, 81-00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital Tor Vergata, Viale Oxford, 81-00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital Tor Vergata, Viale Oxford, 81-00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital Tor Vergata, Viale Oxford, 81-00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital Tor Vergata, Viale Oxford, 81-00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital Tor Vergata, Viale Oxford, 81-00133 Rome, ItalyIdiopathic granulomatous mastitis (IGM) is an uncommon benign disorder of the breast. At clinical examination, IGM is characterized by an inflammatory process of the breast, usually unilateral. Possible clinical findings are palpable mass with erythematous skin, pain, sterile abscesses, fistula and nipple retraction. Mammography and ultrasound findings are not specific for IGM. Magnetic resonance imaging (MRI) is a useful tool for the differential diagnosis; it is also necessary to delineate the exact extension of the disease and to plan the correct treatment. Final diagnosis is histological. We described an unusual case of IGM with bilateral involvement in a patient with history of pacemaker implantation and IGM typical clinical symptoms. Mammography, ultrasound, and MRI examinations were performed to identify the inflammatory disorder and to plan the correct therapy. Imaging features were correlated with final histological diagnosis of IGM.http://dx.doi.org/10.1155/2013/694697
spellingShingle C. A. Pistolese
R. Di Trapano
V. Girardi
E. Costanzo
I. Di Poce
G. Simonetti
An Unusual Case of Bilateral Granulomatous Mastitis
Case Reports in Radiology
title An Unusual Case of Bilateral Granulomatous Mastitis
title_full An Unusual Case of Bilateral Granulomatous Mastitis
title_fullStr An Unusual Case of Bilateral Granulomatous Mastitis
title_full_unstemmed An Unusual Case of Bilateral Granulomatous Mastitis
title_short An Unusual Case of Bilateral Granulomatous Mastitis
title_sort unusual case of bilateral granulomatous mastitis
url http://dx.doi.org/10.1155/2013/694697
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