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乳腺结节病:一例罕见病例报告。

Mammary sarcoidosis: A rare case report.

作者信息

Rhazari Meriem, Ramdani Abdelbassir, Gartini Sara, Bouali Siham, Aharmim Mohammed, Thouil Afaf, Kouismi Hatim, Bourkadi Jamal Eddine

机构信息

Pneumology Department, Mohammed VI University Hospital, Oujda, Morocco.

Mohammed First University Oujda, Faculty of Medicine and Pharmacy Oujda, Oujda, Morocco.

出版信息

Ann Med Surg (Lond). 2022 May 31;78:103892. doi: 10.1016/j.amsu.2022.103892. eCollection 2022 Jun.

Abstract

INTRODUCTION

Sarcoidosis is an inflammatory, systemic, idiopathic disease characterized by multisystem involvement, of which mediastinal and pulmonary involvement is the most frequent. Mammary sarcoidosis is exceptional.

CASE PRESENTATION

We report the case of a 50-year-old, diagnosed with mediastinal and mammary sarcoidosis. Therapeutic abstention with clinical and radiological surveillance was recommended. The evolution was marked by a clear improvement (clinical and radiological).

DISCUSSION

Mammary sarcoidosis is a rare anatomical and clinical entity which poses a problem of differential diagnosis with other granulomatous diseases and especially with breast carcinoma. The coexistence of systemic manifestations should lead to the discussion of sarcoidosis.

CONCLUSION

Mammary sarcoidosis involvement is rare and is manifested by a mass with a smooth or spiculated border, requiring the exclusion of malignancy.

摘要

引言

结节病是一种炎症性、全身性、特发性疾病,其特征为多系统受累,其中纵隔和肺部受累最为常见。乳腺结节病较为罕见。

病例报告

我们报告一例50岁患者,诊断为纵隔和乳腺结节病。建议采取临床和影像学监测下的观察等待策略。病情演变表现为明显改善(临床和影像学)。

讨论

乳腺结节病是一种罕见的解剖学和临床实体,与其他肉芽肿性疾病尤其是乳腺癌存在鉴别诊断问题。全身表现的共存应引发对结节病的讨论。

结论

乳腺结节病受累罕见,表现为边界光滑或有毛刺的肿块,需要排除恶性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1604/9207054/7ac468c78843/gr1.jpg

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