Mosier Andrew D, Boldt Brian, Keylock Joren, Smith Donald V, Graham James
Department of Radiology, Madigan Army Medical Center, Tacoma, WA, USA.
J Radiol Case Rep. 2013 Jan;7(1):48-58. doi: 10.3941/jrcr.v7i1.1242. Epub 2013 Jan 1.
Lupus Mastitis (LM) is a rare presentation of lupus panniculitis involving the breast. Because it often presents as a tender palpable mass, a workup for malignancy usually ensues. It is well documented that surgery may worsen the condition; therefore, it is important to consider LM in the differential of a palpable breast mass in patients with systemic lupus erythematosus (SLE). Currently, management of LM remains primarily medical. We discuss the multi-disciplinary work-up of LM, and further describe its appearance on serial Magnetic Resonance (MR) exams.
狼疮性乳腺炎(LM)是狼疮性脂膜炎累及乳腺的一种罕见表现。由于它常表现为可触及的压痛性肿块,通常会接着进行恶性肿瘤的检查。有充分文献记载,手术可能会使病情恶化;因此,对于系统性红斑狼疮(SLE)患者可触及的乳腺肿块进行鉴别诊断时,考虑到LM很重要。目前,LM的治疗仍主要是药物治疗。我们讨论了LM的多学科检查,并进一步描述了其在系列磁共振(MR)检查中的表现。