title: Cat-scratch disease presenting as a solitary tumour in the breast: report of three cases.
abstract: Cat-scratch disease (CSD) may appear as a solitary mass in the breast and give the impression of a breast carcinoma. In this case, further clinical and laboratory investigation is required to rule out malignancy. We present three cases of CSD of the breast in women of 64, 31 and 61 years old. Each presented with enlarged lymph-nodes in the breast, which were clinically mistaken for solitary tumours. In the first two patients, the mammography was negative. The third patient had a mammogram which indicated a well-defined solid mass in the parenchyma without calcifications. We discuss the clinical, histological and histochemical findings, analyze the differential diagnosis and review the literature.
authors.affiliation: Histopathology Department, Alexandra General District Hospital, 7 Paparounas Str., 145 78 Ekali, Athens, Greece.
authors.forename: S
authors.initials: S
authors.lastname: Markaki
authors.forename: M
authors.initials: M
authors.lastname: Sotiropoulou
authors.forename: P
authors.initials: P
authors.lastname: Papaspirou
authors.forename: D
authors.initials: D
authors.lastname: Lazaris
mesh_terms: D000328:Adult; D001474:Bartonella Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D018416:Bartonella henselae; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008327:Mammography; D008875:Middle Aged; D014463:Ultrasonography