Serial MR findings and comprehensive review of bilateral lupus mastitis with an additional case report.
Lupus Mastitis (LM) is a rare presentation of lupus panniculitis involving the breast. Because it often presents as a tender palpable mass, a workup for malignancy usually ensues. It is well documented that surgery may worsen the condition; therefore, it is important to consider LM in the differential of a palpable breast mass in patients with systemic lupus erythematosus (SLE). Currently, management of LM remains primarily medical. We discuss the multi-disciplinary work-up of LM, and further describe its appearance on serial Magnetic Resonance (MR) exams.
Department of Radiology, Madigan Army Medical Center, Tacoma, WA, USA. andrew.mosier@amedd.army.mil
Andrew D
AD
Mosier
Brian
B
Boldt
Joren
J
Keylock
Donald V
DV
Smith
James
J
Graham
D000328:Adult; D001707:Biopsy, Needle; D001940:Breast / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008327:Mammography; D008413:Mastitis / Q000175:diagnosis*; D059373:Mastodynia / Q000209:etiology; D015435:Panniculitis, Lupus Erythematosus / Q000175:diagnosis*
SLE; lupus; lupus mastitis; mastitis