Van Wert Mary, Ghio Michael, Graham Caroline, Smetherman Dana, Sanders Ronda, Corsetti Ralph
Department of Surgery, Ochsner Clinic Foundation, New Orleans, LA.
Department of Surgical Oncology, Lakeview Regional Medical Center: A Campus of Tulane Medical Center, Covington, LA.
Ochsner J. 2021 Winter;21(4):402-405. doi: 10.31486/toj.21.0095.
Coronavirus disease 2019 (COVID-19) is recognized as a multisystem disease affecting the whole body, with new complications from the disease being described on an almost-daily basis. We report the case of a 50-year-old female with a medical history of diabetes and silicone breast implants who developed right-sided, multicentric breast masses after a prolonged hospitalization for COVID-19 infection complicated by renal failure requiring dialysis. The patient noted an onset of breast pain and masses, and subsequent imaging demonstrated multiple similar oval masses. She underwent biopsy and operative debridement of the lesions and recovered appropriately. Results were consistent with sterile abscesses that were considered secondary to a vasculitis-like process associated with COVID-19 infection. To our knowledge, this case is the first account of breast pathology associated with a diagnosis of COVID-19 in the medical literature and encourages systematic evaluations of patients with coronavirus infections, including breast examinations.
2019冠状病毒病（COVID-19）被认为是一种影响全身的多系统疾病，几乎每天都有关于该疾病新并发症的报道。我们报告了一例50岁女性病例，该患者有糖尿病病史且植入了硅胶乳房假体，在因COVID-19感染住院时间延长并并发需要透析的肾衰竭后，出现了右侧多中心乳房肿块。患者注意到乳房疼痛和肿块，随后的影像学检查显示有多个类似的椭圆形肿块。她接受了病变活检和手术清创，并适当康复。结果与无菌性脓肿一致，这些脓肿被认为继发于与COVID-19感染相关的血管炎样过程。据我们所知，该病例是医学文献中首例与COVID-19诊断相关的乳房病理学报告，并鼓励对冠状病毒感染患者进行系统评估，包括乳房检查。
