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The atypical form of granulomatous lobular mastitis – diagnostic dilemmas. A case report
Affiliations- Department of Oncological Surgery, Prof. Kornel Gibiński Independent Public Central Clinical Hospital, Medical University of Silesia in Katowice, Poland
- Department of Radiology and Nuclear Medicine, Medical University of Silesia in Katowice, Poland
- Chair I Department of Pathomorphology and Molecular Diagnostics, Prof. Kornel Gibiński Independent Public Central Clinical Hospital, Medical University of Silesia in Katowice, Poland
- Student of the Medical Faculty at the Medical University of Silesia in Katowice, Poland
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Abstract
Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory condition that may cause diagnostic difficulties during clinical tests and radiological examinations in terms of differentiation from contagious diseases, such as tuberculosis (TB) and fungal infections, as well as cancer. This report presents the case of a 23-year-old woman with granulomatous mastitis, along with a discussion of the diagnostic dilemmas based on a clinical test, mammography, ultrasonography and histopathological examination. IGM produces varied and non-specific manifestations on mammography and ultrasonography. Therefore, histopathological examination is necessary to make an unambiguous diagnosis. The possibility of this condition must always be borne in mind to minimise the risk of an erroneous cancer diagnosis. There are no standard procedures in force for the treatment of IGM.
Abstract
Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory condition that may cause diagnostic difficulties during clinical tests and radiological examinations in terms of differentiation from contagious diseases, such as tuberculosis (TB) and fungal infections, as well as cancer. This report presents the case of a 23-year-old woman with granulomatous mastitis, along with a discussion of the diagnostic dilemmas based on a clinical test, mammography, ultrasonography and histopathological examination. IGM produces varied and non-specific manifestations on mammography and ultrasonography. Therefore, histopathological examination is necessary to make an unambiguous diagnosis. The possibility of this condition must always be borne in mind to minimise the risk of an erroneous cancer diagnosis. There are no standard procedures in force for the treatment of IGM.
Keywords
granulomatous mastitis; breast cancer
About this articleTitle
The atypical form of granulomatous lobular mastitis – diagnostic dilemmas. A case report
Journal
Nowotwory. Journal of Oncology
Issue
Article type
Case report
Pages
69-72
Published online
2020-04-07
Page views
515
Article views/downloads
607
DOI
10.5603/NJO.2020.0016
Bibliographic record
Nowotwory. Journal of Oncology 2020;70(2):69-72.
Keywords
granulomatous mastitis
breast cancer
Authors
Andrzej Lorek
Wojciech Zarębski
Katarzyna Steinhof-Radwańska
Maciej Kajor
Agnieszka Boratyn-Nowicka
Joanna Lorek
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