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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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2024-11-01
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| Series: | Journal of the Korean Society of Radiology |
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| Online Access: | https://doi.org/10.3348/jksr.2024.0065 |
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| author | Yun Hwa Chang Suk Jin Park Joo Heon Kim |
| author_facet | Yun Hwa Chang Suk Jin Park Joo Heon Kim |
| author_sort | Yun Hwa Chang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-4c2acaebec034cdd9f283a927c6a98ed |
| institution | OA Journals |
| issn | 2951-0805 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj-art-4c2acaebec034cdd9f283a927c6a98ed2025-08-20T02:07:08ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052024-11-0185612211228https://doi.org/10.3348/jksr.2024.0065Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic FindingsYun Hwa ChangSuk Jin ParkJoo Heon KimBreast 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.https://doi.org/10.3348/jksr.2024.0065mastitisbehcet syndromeautoimmune diseasesultrasonographymagnetic resonance imagingmammography |
| spellingShingle | Yun Hwa Chang Suk Jin Park Joo Heon Kim Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic Findings Journal of the Korean Society of Radiology mastitis behcet syndrome autoimmune diseases ultrasonography magnetic resonance imaging mammography |
| title | Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic Findings |
| title_full | Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic Findings |
| title_fullStr | Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic Findings |
| title_full_unstemmed | Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic Findings |
| title_short | Autoimmune Mastitis in a Patient with Behcet’s Syndrome: A Case Report with Rapid Changes in Radiologic Features and Characteristic Pathologic Findings |
| title_sort | autoimmune mastitis in a patient with behcet s syndrome a case report with rapid changes in radiologic features and characteristic pathologic findings |
| topic | mastitis behcet syndrome autoimmune diseases ultrasonography magnetic resonance imaging mammography |
| url | https://doi.org/10.3348/jksr.2024.0065 |
| work_keys_str_mv | AT yunhwachang autoimmunemastitisinapatientwithbehcetssyndromeacasereportwithrapidchangesinradiologicfeaturesandcharacteristicpathologicfindings AT sukjinpark autoimmunemastitisinapatientwithbehcetssyndromeacasereportwithrapidchangesinradiologicfeaturesandcharacteristicpathologicfindings AT jooheonkim autoimmunemastitisinapatientwithbehcetssyndromeacasereportwithrapidchangesinradiologicfeaturesandcharacteristicpathologicfindings |