%0 Case Reports %T Rare and First Manifestation of Lupus Panniculitis as Lupus Mastitis: A Case Report and Literature Review. %A Yong Guo C %A Chen L %A Sun L %A Shan Yang X %A Qi Mao R %A Cheng Li B %A Jun Li X %A Zhou L %J Curr Med Imaging %V 0 %N 0 %D 2023 Aug 4 %M 37537937 暂无%R 10.2174/1573405620666230804092737 %X BACKGROUND: This case report presents a rare occurrence of lupus mastitis affecting the breast.
METHODS: 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.
CONCLUSIONS: The diagnosis of lupus mastitis necessitates a comprehensive evaluation of the patient's medical history, serological testing, imaging studies, and histopathological analysis.