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双侧狼疮性乳腺炎的系列磁共振成像(MR)表现及综合文献复习并附一例病例报告

Serial MR findings and comprehensive review of bilateral lupus mastitis with an additional case report.

作者信息

Mosier Andrew D, Boldt Brian, Keylock Joren, Smith Donald V, Graham James

机构信息

Department of Radiology, Madigan Army Medical Center, Tacoma, WA, USA.

出版信息

J Radiol Case Rep. 2013 Jan;7(1):48-58. doi: 10.3941/jrcr.v7i1.1242. Epub 2013 Jan 1.

Abstract

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.

摘要

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。

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