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Paper Information

Journal:   IRANIAN JOURNAL OF RADIOLOGY   JULY 2016 , Volume 13 , Number 3; Page(s) 0 To 0.
 
Paper: 

IMAGING FINDINGS IN PATIENTS WITH GRANULOMATOUS MASTITIS

 
 
Author(s):  OZTEKIN PELIN SEHER*, DURHAN GAMZE, KOSAR PINAR NERCIS, EREL SERAP, HUCUMENOGLU SEMA
 
* RADIOLOGY DEPARTMENT, ANKARA TRAINING AND RESEARCH HOSPITAL, ANKARA, TURKEY
 
Abstract: 

Background: Granulomatous mastitis (GM) is a rare inflammatory breast disease that may mimic the clinical characteristics and radiologic imaging findings of breast carcinoma. Considering the importance of making a correct diagnosis, careful radiologic evaluations and recognition of imaging features are necessary.
Objectives: The aim of this study was to review the radiological findings and diagnostic value of the imaging in GM.
Patients and Methods: This retrospective study involved a total of 29 patients who were diagnosed with GM between 2009 and 2013 and who underwent mammography (MG) and/or ultrasound (US) examination in addition to magnetic resonance imaging (MRI) before diagnosis.
Results: Among 14 patients over 35 years of age who underwent MG imaging, focal asymmetric, ill-defined nodular, or diffusely increased densities were detected in nine (64.3%), two (14.3%), and one (7.1%) subjects, respectively, while there were no pathological findings in two (14.3%) patients. In the overall group of 29 patients, US showed heterogeneous hypoechoic lesions with tubular extensions in 16 (55.2%), well-demarcated heterogeneous hypoechoic lesions in eight (27.6%), parenchymal heterogeneous appearance in three (10.3%), and a heterogeneous hypoechoic lesion with irregular margins in one (3.4%), with another (3.4%) patient having normal US findings. MRI findings included lesions consistent with solitary or multiple separate or confluent abscesses with marked peripheral ring enhancement in 25 (86.2%) patients, accompanied by intensity changes suggesting edematous inflammation in the peripheral parenchyma, as well as non-mass-like heterogeneous segmental and regional contrast enhancement. Four (13.8%) patients had non-mass-like segmental and regional contrast enhancement only. A histopathological diagnosis of GM was established in all patients with biopsy.
Conclusion: GM presents with a wide range of conventional radiological findings, hampering the diagnosis. In patients with inconclusive conventional findings, MRI may assist in the differential diagnosis and assessment of the extent of disease. However, a definitive diagnosis and relevant treatment require histopathological confirmation.

 
Keyword(s): GRANULOMATOUS MASTITIS, BREAST, MAMMOGRAPHY, ULTRASONOGRAPHY
 
 
References: 
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Click to Cite.
APA: Copy

OZTEKIN, P., & DURHAN, G., & KOSAR, P., & EREL, S., & HUCUMENOGLU, S. (2016). IMAGING FINDINGS IN PATIENTS WITH GRANULOMATOUS MASTITIS. IRANIAN JOURNAL OF RADIOLOGY, 13(3), 0-0. https://www.sid.ir/en/journal/ViewPaper.aspx?id=569401



Vancouver: Copy

OZTEKIN PELIN SEHER, DURHAN GAMZE, KOSAR PINAR NERCIS, EREL SERAP, HUCUMENOGLU SEMA. IMAGING FINDINGS IN PATIENTS WITH GRANULOMATOUS MASTITIS. IRANIAN JOURNAL OF RADIOLOGY. 2016 [cited 2021May09];13(3):0-0. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=569401



IEEE: Copy

OZTEKIN, P., DURHAN, G., KOSAR, P., EREL, S., HUCUMENOGLU, S., 2016. IMAGING FINDINGS IN PATIENTS WITH GRANULOMATOUS MASTITIS. IRANIAN JOURNAL OF RADIOLOGY, [online] 13(3), pp.0-0. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=569401.



 
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