Department of Radiology, University of Kentucky Chandler Medical Center, 800 Rose St. HX315E, Lexington, KY, USA.
Department of Radiology, University of Kentucky Chandler Medical Center, 800 Rose St. HX315E, Lexington, KY, USA.
Clin Imaging. 2021 Oct;78:64-68. doi: 10.1016/j.clinimag.2021.02.033. Epub 2021 Feb 23.
Xantho-granulomatous mastitis (XGM) is a rare entity, only recently described in 2005. These lesions are often biopsied due to their clinical and radiological resemblance to breast cancer. With limited clinical experience, the etiopathogenesis and natural history of XGM remains unknown. We present two cases of pathologically proven XGM that were imaged at two time-points, with the findings alluding to the possibility of a precursor stage of cyst formation. In addition, we present a thorough review of all cases published to date and discuss the differential considerations and management implications of XGM.
黄色肉芽肿性乳腺炎（XGM）是一种罕见的疾病，直到 2005 年才被首次描述。由于其临床表现和影像学表现与乳腺癌相似，这些病变常需进行活检。由于临床经验有限，XGM 的病因、发病机制和自然病程仍不清楚。我们报告了两例经病理证实的 XGM 病例，这两例病例在两个时间点进行了影像学检查，结果提示可能存在囊形成的前期阶段。此外，我们对迄今为止所有发表的病例进行了全面回顾，并讨论了 XGM 的鉴别诊断考虑因素和治疗意义。
