Meme Kanserini Taklit Eden İdiyopatik Granülomatöz Mastit: Olgu Sunumu

Öz

35 yaşında kadın hasta sağ memede sertlik ve ağrı şikayeti ile başvurdu. Aralıklı olarak, spontan, berrak meme başı akıntısı vardı. İnceleme sonucunda bir üst iç kadranda sert bir kitle palpe edildi. Ancak eritem ateş gibi enfeksiyon belirtileri yoktu. Klinik göz önüne alındığında (mamografi: Şekil 1) ve ultrasonografi: Şekil 2) malinite bulguları mevcuttu. Ultrason rehberliğinde core-needle iğne biyopsisi yapıldı ve kronik granülomatöz mastit tanısı aldı.

Anahtar Kelimeler

• İdiopatik granülomatöz mastit
• manyetik rezonans görüntüleme
• meme kanseri

Idiopathic Granulomatous Mastitis Mimicking Breast Cancer: A Case Report

Öz

A 35-year-old female presented with complaints of stiffness and pain in her right breast. She had intermittent, spontaneous, clear nipple discharge. Upon examination, a hard lump was palpated in the upper inner quadrant of the right breast. There were no signs of infection, such as erythema or increased temperature. Given the clinical presentation and imaging findings (mammography: Fig 1 and ultrasonography: Fig 2), malignancy and infectiouspathologies were suspected. Ultrasound-guided core needle biopsy was performed. The pathology was reported as chronic granulomatous mastitis, and the fine needleaspiration biopsy on the axilla revealed benign cytology.

Anahtar Kelimeler

• Idiopathic granulomatous mastitis
• magnetic resonance imaging
• breast carcinoma

Kaynakça

1. Altintoprak F, Kivilcim T, Ozkan OV. Aetiology of idiopathic granulomatous mastitis. World J Clin Cases. 2014 Dec 16; 2(12):852-858.
2. Çalış H, Kilitçi A. Granulomatous mastitis concurrence with breast cancer. Eur J Breast Health. 2018 Jan 1; 14(1):58-60.
3. Severs FJ, Guevara L, Sam KQ, Roark A, Benveniste AP, Ebuoma L. Granulomatous mastitis of the breast: A malicious mimic. Journal of Diagnostic Medical Sonography. 2018; 34(3):223-228.
4. Soylu Boy FN, Esen Icten G, Kayadibi Y, Tasdelen I, Alver D. Idiopathic granulomatous mastitis or breast cancer? A comparative MRI study in patients presenting with non-mass enhancement. Diagnostics (Basel). 2023 Apr 19;13(8):1475.