Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report
Lupus mastitis is a presentation of lupus panniculitis that involves subcutaneous fat in patients with systemic lupus erythematosus (SLE). Moreover, lupus mastitis is a rare condition that typically presents as a palpable breast mass. Here, we report the case of a 29-year-old woman with a prior d...
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2024-11-01
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| Series: | Journal of the Korean Society of Radiology |
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| Online Access: | https://doi.org/10.3348/jksr.2024.0041 |
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| author | Kwang Min Lee Ji Young Park Eon Jeong Nam Won Hwa Kim Hye Jung Kim |
| author_facet | Kwang Min Lee Ji Young Park Eon Jeong Nam Won Hwa Kim Hye Jung Kim |
| author_sort | Kwang Min Lee |
| collection | DOAJ |
| description | Lupus mastitis is a presentation of lupus panniculitis that involves subcutaneous fat in patients
with systemic lupus erythematosus (SLE). Moreover, lupus mastitis is a rare condition
that typically presents as a palpable breast mass. Here, we report the case of a 29-year-old
woman with a prior diagnosis of SLE who presented with palpable lumps in both breasts.
Imaging studies were performed, and mammography revealed extensive and bizarre calcifications,
mainly in the retromammary area. US revealed large irregular calcifications with
posterior shadowing, and breast MRI images exhibited diffuse irregular persistent rim enhancement
in the retromammary area. An US-guided biopsy was performed to differentiate
the condition from breast cancer and confirmed the diagnosis of fat necrosis, consistent
with the pathological characteristics of lupus mastitis. Herein, we present a case of lupus
mastitis, an unusual clinical manifestation of SLE, and discuss the clinical, pathological, and
imaging findings supporting the diagnosis and the differential diagnosis. |
| format | Article |
| id | doaj-art-51571fe0361a477d925bbeec6a7c8a0a |
| institution | OA Journals |
| issn | 2951-0805 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj-art-51571fe0361a477d925bbeec6a7c8a0a2025-08-20T01:52:54ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052024-11-0185612151220https://doi.org/10.3348/jksr.2024.0041Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case ReportKwang Min LeeJi Young ParkEon Jeong NamWon Hwa KimHye Jung KimLupus mastitis is a presentation of lupus panniculitis that involves subcutaneous fat in patients with systemic lupus erythematosus (SLE). Moreover, lupus mastitis is a rare condition that typically presents as a palpable breast mass. Here, we report the case of a 29-year-old woman with a prior diagnosis of SLE who presented with palpable lumps in both breasts. Imaging studies were performed, and mammography revealed extensive and bizarre calcifications, mainly in the retromammary area. US revealed large irregular calcifications with posterior shadowing, and breast MRI images exhibited diffuse irregular persistent rim enhancement in the retromammary area. An US-guided biopsy was performed to differentiate the condition from breast cancer and confirmed the diagnosis of fat necrosis, consistent with the pathological characteristics of lupus mastitis. Herein, we present a case of lupus mastitis, an unusual clinical manifestation of SLE, and discuss the clinical, pathological, and imaging findings supporting the diagnosis and the differential diagnosis.https://doi.org/10.3348/jksr.2024.0041lupus mastitisfat necrosisretromammary areamammographymagnetic resonance imaging |
| spellingShingle | Kwang Min Lee Ji Young Park Eon Jeong Nam Won Hwa Kim Hye Jung Kim Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report Journal of the Korean Society of Radiology lupus mastitis fat necrosis retromammary area mammography magnetic resonance imaging |
| title | Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report |
| title_full | Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report |
| title_fullStr | Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report |
| title_full_unstemmed | Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report |
| title_short | Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report |
| title_sort | lupus mastitis manifesting as extensive calcification in the retromammary area a case report |
| topic | lupus mastitis fat necrosis retromammary area mammography magnetic resonance imaging |
| url | https://doi.org/10.3348/jksr.2024.0041 |
| work_keys_str_mv | AT kwangminlee lupusmastitismanifestingasextensivecalcificationintheretromammaryareaacasereport AT jiyoungpark lupusmastitismanifestingasextensivecalcificationintheretromammaryareaacasereport AT eonjeongnam lupusmastitismanifestingasextensivecalcificationintheretromammaryareaacasereport AT wonhwakim lupusmastitismanifestingasextensivecalcificationintheretromammaryareaacasereport AT hyejungkim lupusmastitismanifestingasextensivecalcificationintheretromammaryareaacasereport |