Thapa Ajit, Parakh Anushri, Arora Jyoti, Goel Ruchika Kumar
Department of Radiology and Imaging, Medanta - The Medicity, Gurgaon, India.
Clinic of Radiology and Nuclear Medicine, University Hospital of Basel, Basel, Switzerland.
BJR Case Rep. 2016 May 30;2(2):20150290. doi: 10.1259/bjrcr.20150290. eCollection 2016.
A 39-year-old male with no known co-morbid conditions presented with gradually increasing bilateral breast lumps for 1.5 years. Clinically, tender subcutaneous masses were detected. Mammograms revealed masses on both sides that on ultrasound were hyperechoic and showed internal vascularity. An MRI was suggested to assess the extent of the disease that confirmed bilateral masses but was otherwise inconclusive. Core biopsy revealed evidence of panniculitis with likely autoimmune aetiology. Evaluation of autoimmune markers was carried out that was positive and multidisciplinary team discussion concluded the diagnosis as lupus mastitis. Male breast pathology and lupus mastitis are both uncommon conditions, making lupus mastitis of male breast an extremely unusual presentation. However, its close clinical and radiological similarity with malignancy makes it important in spite of its rarity. Here we report a case of bilateral lupus mastitis in male breast with its radiological features.
