Devanabanda Bhavana, Shah Ashani, Shafeek Mirette, Salvador Magdalena
Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07103, USA.
Radiol Case Rep. 2024 Oct 23;20(1):201-204. doi: 10.1016/j.radcr.2024.09.120. eCollection 2025 Jan.
Mastitis, or inflammation of breast tissue, typically presents in lactating women but may be seen across all ages and in both genders. Infection is the most common etiology underlying this condition, although noninfectious inflammation is also possible. Timely diagnosis and treatment can prevent complications including breast abscess. Mastitis and breast abscess are both characterized by pain and may result in misdiagnosis and delayed treatment of more serious conditions such as inflammatory breast cancer (IBC). Conversely, imaging may result in misdiagnosis of breast abscesses due to the similarity to lesions suspicious for malignancy. We present the case of a 52-year-old female with imaging studies suspicious for IBC who was eventually diagnosed with breast abscess via pathological confirmation. We discuss the overlap and differences between breast abscess and breast malignancy regarding patient presentation, population, risk factors, and imaging findings for diagnostic purposes.
乳腺炎，即乳腺组织的炎症，通常发生在哺乳期女性，但可见于所有年龄段和两性。感染是这种疾病最常见的病因，不过非感染性炎症也有可能。及时诊断和治疗可预防包括乳腺脓肿在内的并发症。乳腺炎和乳腺脓肿都以疼痛为特征，可能导致对更严重疾病（如炎性乳腺癌（IBC））的误诊和治疗延误。相反，由于与可疑恶性病变相似，影像学检查可能会导致乳腺脓肿的误诊。我们报告一例52岁女性病例，其影像学检查怀疑为IBC，最终经病理证实诊断为乳腺脓肿。为了诊断目的，我们讨论了乳腺脓肿与乳腺恶性肿瘤在患者表现、人群、危险因素和影像学表现方面的重叠与差异。
