Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic Findings
Breast manifestations of autoimmune diseases are rare but may present as localized disease or as part of a systemic disease. The most common clinical presentations of autoimmune mastitis are palpable masses and mastalgia, but patients can also be asymptomatic. Its radiological features are nonspe...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2024-11-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2024.0065 |
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| Summary: | Breast manifestations of autoimmune diseases are rare but may present as localized disease
or as part of a systemic disease. The most common clinical presentations of autoimmune
mastitis are palpable masses and mastalgia, but patients can also be asymptomatic. Its radiological
features are nonspecific and varied; it usually appears as an irregular hypoechoic
mass or ill-defined hypoechoic nonmass lesion that mimics malignancy, with or without
duct ectasia on breast ultrasonography. On breast MRI, segmental or regional nonmass enhancement
is observed. However, due to its nonspecific and rapid changes in its clinical and
radiological features, its diagnosis is often challenging and delayed. Herein, we present a
rare case of mastitis with mammary duct ectasia in a patient with Behcet’s syndrome and its
rapid changes in imaging features on serial radiologic studies. Furthermore, we review the
literature focusing on the radiologic and histopathologic characteristics of autoimmune
mastitis. |
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| ISSN: | 2951-0805 |