Khamapirad Tuenchit, Hennan Kimberly, Leonard Morton, Eltorky Mahmoud, Qiu Suimin
Department of Radiology, University of Texas Medical Branch, Galveston, TX 77555-0709, USA.
Ann Diagn Pathol. 2007 Apr;11(2):109-12. doi: 10.1016/j.anndiagpath.2006.12.016.
Granulomatous lobular mastitis (GLM) is a rare, benign condition with an unknown etiology that can appear as cancer on mammogram, ultrasound, and magnetic resonance imaging. The terminology of GLM was first named by Going et al (J Clin Pathol 1987;40:535-540) in 1987 after he noted the lobule centered distribution on histologic exam. We present 2 case reports of GLM that clinically and radiographically appeared as malignant lesions. The first case was a 31-year-old woman with a 1-month history of breast mass, and the second case was a 33-year-old woman with a 2-week history of breast mass. Both cases were histologically diagnosed as GLM. Retrospectively, we identified ultrasound and magnetic resonance imaging characteristics that may be used in the future to classify the breast mass before biopsy.
肉芽肿性小叶性乳腺炎(GLM)是一种罕见的良性疾病,病因不明,在乳房X线摄影、超声和磁共振成像上可能表现为癌症。GLM这一术语最早由戈英等人于1987年命名(《临床病理学杂志》1987年;40:535 - 540),当时他在组织学检查中注意到其以小叶为中心的分布。我们报告2例临床上和影像学上表现为恶性病变的GLM病例。第一例是一名31岁女性,有1个月乳房肿块病史,第二例是一名33岁女性,有2周乳房肿块病史。两例均经组织学诊断为GLM。回顾性地,我们确定了超声和磁共振成像特征,这些特征未来可能用于在活检前对乳房肿块进行分类。