Title:Rare and First Manifestation of Lupus Panniculitis as Lupus Mastitis: A Case
Report and Literature Review
Volume: 20
Author(s): Chong Yong Guo, Li Chen, Lin Sun, Xiao Shan Yang, Ruiqi Mao, Bo Cheng Li, Xin Jun Li and Ling Zhou*
Affiliation:
- Department of General Surgery, Shanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai, China
Keywords:
Lupus mastitis, Biopsy, Breast, Systemic lupus erythematous, Ultrasonography, Magnetic resonance imaging.
Abstract:
Introduction:
This case report presents a rare occurrence of lupus mastitis affecting the breast.
Case Presentation:
An induration with mild discomfort was detected in the upper inner quadrant of the right breast of a 27-year-old Chinese woman with regular
menstrual cycles. The patient is currently unmarried and has no previous history of full-term pregnancies or lactation. An ill-defined, subcutaneous,
hyperechoic lesion with no calcification was visualized on breast ultrasound. Peripheral and internal blood flow signals demonstrated high
intensity. Pathological analysis of a breast needle biopsy revealed fat lobule necrosis accompanied by mixed lymphoplasmacytic and histiocytic
aggregates.
Conclusion:
The diagnosis of lupus mastitis necessitates a comprehensive evaluation of the patient's medical history, serological testing, imaging studies, and
histopathological analysis.
