Boarki K, Labib M
Radiology Department, Hussein Makki Jumaa Center for Specialized Surgery. Kuwait.
Gulf J Oncolog. 2010 Jan(7):46-52.
Idiopathic lobular granulomatous mastititis is a rare inflammatory disease of the breast. Since the clinical manifestations simulate those of mammary malignancy, it is often misdiagnosed. We report a case in a 25 yrs old Egyptian woman who had presented with complaint of a painful mass in her right breast of 3 months duration. Clinical and radiological examinations were indeterminate of its nature and the diagnosis was established by histopathogical, microbiological and serological tests. Review of relevant literature mention the features of Idiopathic lobular granulomatous mastititis, which impose significant challenge on clinical, radiological and even histopathological diagnosis. These correlate well with our case scenario also. Complete resection of the lesions and/or administration of steroids are usually the recommended treatment, however about 38% patients may experience recurrence. Hence proper post treatment follow up is mandatory. Awareness among the clinicians, radiologists and pathologists about this disease entity is required and multi disciplinary approach is imperative to establish the diagnosis. We hope to convey these facts through this article with the review of relevant literature.
特发性小叶性肉芽肿性乳腺炎是一种罕见的乳腺炎症性疾病。由于其临床表现与乳腺恶性肿瘤相似，故常被误诊。我们报告一例25岁埃及女性病例，她因右乳疼痛性肿块3个月前来就诊。临床和影像学检查无法确定其性质，最终通过组织病理学、微生物学和血清学检查确诊。相关文献回顾提及了特发性小叶性肉芽肿性乳腺炎的特征，这给临床、影像学甚至组织病理学诊断带来了重大挑战。这些特征与我们的病例情况也高度相关。通常建议对病变进行完整切除和/或给予类固醇治疗，然而约38%的患者可能会复发。因此，治疗后进行适当的随访是必不可少的。临床医生、放射科医生和病理科医生需要了解这种疾病实体，建立诊断必须采取多学科方法。我们希望通过本文结合相关文献回顾来传达这些事实。
