Graziano Luciana, Bitencourt Almir Galvão Vieira, Silva Caroline Baptista da, Guatelli Camila Souza, Souza Juliana Alves, Poli Miriam Rosalina Brites, Marques Elvira Ferreira
MD - Physician, Member of the Department of Imaging, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
PhD - Physician, Member of the Department of Imaging, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Rev Assoc Med Bras (1992). 2016 Jul;62(4):303-6. doi: 10.1590/1806-9282.62.04.303.
Idiopathic granulomatous mastitis is a rare disorder of unknown etiology. This disease occurs mostly in young women and often after the lactation period. Women usually present with a fixed, painful mass, sparing the retroareolar region, associated with skin thickening and possible ulceration that mimics carcinoma. Nipple discharge can be present and bilateral involvement may occur in up to 25% of cases. In this case report, we present a typical case of histologically confirmed idiopathic granulomatous mastitis, highlighting the imaging findings, including magnetic resonance imaging (MRI), which may favor this diagnosis and enable better clinical management of these patients.
特发性肉芽肿性乳腺炎是一种病因不明的罕见疾病。这种疾病多见于年轻女性，且常发生在哺乳期之后。患者通常表现为一个固定的、疼痛性肿块，不累及乳晕后区域，伴有皮肤增厚，可能出现类似癌的溃疡。可能有乳头溢液，高达25%的病例可出现双侧受累。在本病例报告中，我们展示了一例经组织学证实的特发性肉芽肿性乳腺炎典型病例，重点介绍了影像学表现，包括磁共振成像（MRI），其有助于该诊断，并能使这些患者得到更好的临床管理。
