99 results match your criteria Breast Abscesses and Masses

Clinicopathological features of idiopathic granulomatous mastitis: A retrospective study & educational lessons from Syria.

Ann Med Surg (Lond) 2022 May 5;77:103587. Epub 2022 Apr 5.

Faculty of Medicine, Cancer Research Centre, Tishreen University, Latakia, Syria.

Objective: to determine the clinical presentations and histopathological findings of idiopathic granulomatous mastitis, and to evaluate clinical outcomes after management.

Methods: between 2007 and 2021, the files and histopathology reports of 17 patients with idiopathic granulomatous mastitis at Tishreen University Hospital, Latakia, Syria were reviewed. The data were analyzed and a scan through relevant literature was carried out to review related cases. Read More

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Challenges in the Management of Breast Conditions During Lactation.

Obstet Gynecol Clin North Am 2022 Mar;49(1):35-55

Department of Surgery, Brody School of Medicine, East Carolina University, 600 Moye Boulevard, Greenville, NC 27834, USA. Electronic address: https://twitter.com/HelenMJohnsonMD.

The lactating breast can develop a wide range of conditions that require surgical management, from abscess drainage to the evaluation of nipple-areolar complex (NAC) lesions. In addition, both benign and malignant masses can present in the lactating population. Patients should undergo routine diagnostic workup including core needle biopsy if indicated. Read More

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Multicentric Breast Abscesses in a Patient Who Had COVID-19.

Ochsner J 2021 ;21(4):402-405

Department of Surgical Oncology, Lakeview Regional Medical Center: A Campus of Tulane Medical Center, Covington, LA.

Coronavirus disease 2019 (COVID-19) is recognized as a multisystem disease affecting the whole body, with new complications from the disease being described on an almost-daily basis. We report the case of a 50-year-old female with a medical history of diabetes and silicone breast implants who developed right-sided, multicentric breast masses after a prolonged hospitalization for COVID-19 infection complicated by renal failure requiring dialysis. The patient noted an onset of breast pain and masses, and subsequent imaging demonstrated multiple similar oval masses. Read More

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January 2021

Post-operative Ayurvedic management of non-healing idiopathic granulomatous mastitis - A case report.

J Ayurveda Integr Med 2021 Oct-Dec;12(4):710-714. Epub 2021 Nov 12.

Dept of Prasuti Tantra and Streeroga, Govt. Ayurveda College, Tripunithura, India.

Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory disease of the breast which may present as painful, unilateral, discrete, breast masses with a tendency to recur. The pathogenesis is still unclear. In Ayurvedic literature, clinical features similar to IGM is seen in Stanavidradhi (breast abscess). Read More

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November 2021

Clinicopathological evaluation of idiopathic granulomatous mastitis patients: A retrospective analysis from a tertiary care hospital in Turkey.

Ann Diagn Pathol 2021 Dec 4;55:151812. Epub 2021 Sep 4.

Department of General Surgery, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. Electronic address:

Idiopathic granulomatous mastitis (IGM) is a chronic inflammatory disease of the breast with unknown etiology that is characterized by granuloma formation. We analyzed the clinical, radiological, and therapeutic approaches; the recurrence rate of the disease; and the pathological findings diagnosed with mastitis in a retrospective study. We evaluated a total of 77 patients subjected to core needle or excisional biopsy with preliminary diagnosis of mastitis between January 2017-December 2019 who diagnosed with IGM, nonspecific mastitis/abscess, or periductal mastitis/plasma cell mastitis as a result of their pathological assessment. Read More

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December 2021

Hyperechoic Lesions on Breast Ultrasound: All Things Bright and Beautiful?

Indian J Radiol Imaging 2021 Jan 19;31(1):18-23. Epub 2021 Apr 19.

Department of Radiodiagnosis, Tata Memorial Hospital, Mumbai, Maharashtra, India.

Ultrasound (US) lexicon of the Breast Imaging Reporting and Data System (BI-RADS) defines an echogenic breast mass as a lesion that is hyperechoic in comparison with subcutaneous adipose tissue. However, at sonography, only 0.6 to 5. Read More

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January 2021

Breast Disorders in Adolescence: A Review of the Literature.

Breast Care (Basel) 2021 Apr 30;16(2):149-155. Epub 2020 Nov 30.

2nd Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece.

Background: Adolescence is accompanied by a variety of changes in young breast development, which greatly affects the adolescent's psychology and socialization.

Summary: PubMed, EMBASE, and the Cochrane Library were searched for studies relative to epidemiology, clinical characteristics, diagnosis, and management of all breast disorders in adolescence and their consequences. Development disorders are breast asymmetry, breast atrophy, breast hypoplasia, hypomastia, juvenile breast hypertrophy, and tuberous breast. Read More

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Management of idiopathic granulomatous mastitis in lactation: case report and review of the literature.

Int Breastfeed J 2021 03 4;16(1):23. Epub 2021 Mar 4.

Santa Barbara Cottage Hospital, 400 W. Pueblo Street, Santa Barbara, CA, 93105, USA.

Background: Idiopathic Granulomatous Mastitis (IGM) is a benign chronic inflammatory breast condition that mimics two common breast disorders: breast carcinoma and breast abscess. It can form breast masses, fistulae, and fluid collections, resulting in breast disfigurement with retraction and nipple areolar complex (NAC) inversion. IGM most often presents in women of childbearing age within a few years of pregnancy, and can significantly impact lactation. Read More

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Role of Liver Biopsy in Assessment of Radiologically Identified Liver Masses.

Dig Dis Sci 2022 01 19;67(1):337-343. Epub 2021 Feb 19.

Digestive Disease Center, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 908, CSB, Charleston, SC, 29425, USA.

Background: Despite improvements in imaging techniques that have enhanced the ability to diagnose hepatocellular carcinoma (HCC), histopathological evaluation of many other types of liver masses is critical.

Aims: To evaluate the utility of liver biopsy in patients with radiologically undiagnosed liver masses.

Methods: We retrospectively analyzed 293 consecutive patients who had a liver biopsy for evaluation of an undiagnosed liver mass between January 2014 and January 2018. Read More

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January 2022

Magnetic resonance imaging in the evaluation of pathologic nipple discharge: indications and imaging findings.

Br J Radiol 2021 Apr 5;94(1120):20201013. Epub 2021 Feb 5.

New York University, Grossman School of Medicine, New York, NY, USA.

Pathologic nipple discharge (PND) is typically unilateral, spontaneous, involves a single duct, and is serous or bloody in appearance. In patients with PND, breast MRI can be helpful as an additional diagnostic tool when conventional imaging with mammogram and ultrasound are negative. MRI is able to detect the etiology of nipple discharge in 56-61% of cases when initial imaging with mammogram and ultrasound are negative. Read More

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Pitfalls of Breast Evaluation in the Emergency Department.

Cureus 2020 Sep 23;12(9):e10612. Epub 2020 Sep 23.

Radiology, University of Texas Medical Branch, Galveston, USA.

Breast complaints in the emergency department (ED) include trauma, infection, pain, masses, and nipple discharge. Breast cancer mimics other inflammatory conditions such as mastitis and abscess. Differentiating infectious processes versus cancer can become problematic when no imaging is used. Read More

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September 2020

Primum non nocere: Utility and outcomes of pediatric breast ultrasound.

Clin Imaging 2020 Dec 20;68:131-135. Epub 2020 Jun 20.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA. Electronic address:

Purpose: To assess the use and outcomes of ultrasound for the evaluation of breast signs and symptoms in pediatric females.

Methods: A retrospective database review identified all patients ≤18-years-old who underwent breast ultrasound at an academic institution over a 20-year period. Each symptomatic site was designated a case and analyses were performed on each case. Read More

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December 2020

Larvae of (common house fly) found intraoperatively in a male breast abscess.

SAGE Open Med Case Rep 2020 28;8:2050313X20917841. Epub 2020 Apr 28.

Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA.

A 62-year-old male with type 2 diabetes mellitus presented to our nationally accredited breast center with bilateral breast masses present for 7 years and new-onset pink nipple discharge for several months. Mammography and ultrasound demonstrated a left 2.7 retroareolar cystic lesion and a right 2. Read More

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Primary Tuberculous Mastitis: The first report from Syria.

Int J Surg Case Rep 2020 6;68:48-51. Epub 2020 Feb 6.

General Surgery Department, Aleppo University Hospital, Aleppo, Syria.

Introduction: Primary breast tuberculosis is a rare form of extrapulmonary tuberculosis even in endemic regions. To our knowledge, this is the first report of Primary breast tuberculosis from Syria.

Case Presentation: We report a case of a 37-year-old female who admitted to the surgical clinic with a 4-month history of gradually growing mass in the breast. Read More

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February 2020

Lactational phlegmon: A distinct clinical entity affecting breastfeeding women within the mastitis-abscess spectrum.

Breast J 2020 02 8;26(2):149-154. Epub 2019 Sep 8.

Surgical Oncology, Ridley-Tree Cancer Center, Sansum Clinic, Santa Barbara, California.

We aimed to describe the presentation and treatment of lactational phlegmon, a unique complication of mastitis in breastfeeding women that may require surgical management. We retrospectively analyzed medical charts of breastfeeding women treated by a single breast surgeon for lactational phlegmon or the related conditions of abscess or uncomplicated mastitis (UM) from July 2016 to October 2018. Demographic variables and treatment details were analyzed using ANOVA and Pearson's Chi-square test. Read More

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February 2020

Tuberculous mastitis: A review of 32 cases.

Int J Infect Dis 2019 Oct 20;87:135-142. Epub 2019 Aug 20.

Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address:

Background: Breast tuberculosis (TB) is a rare disease, still present in endemic areas. The significance of breast TB is due to its rare occurrence and its resemblance to malignant breast lesions. The objective of this study was to study various clinical presentations and imaging features of different forms of tuberculous mastitis. Read More

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October 2019

Giant breast masses: A pictorial essay.

J Med Imaging Radiat Oncol 2019 Aug 29;63(4):467-472. Epub 2019 May 29.

Department of Diagnostic & Interventional Radiology, Royal Perth Hospital, Perth, Western Australia, Australia.

In this pictorial essay, we showcase the imaging and pathological findings of a variety of giant breast lesions. Some lesions such as lipomas and hamartomas contain fibrous, glandular and lipomatous tissues and can have characteristic mammographic appearances. Other lesions (e. Read More

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Breast Ultrasound during Lactation: Benign and Malignant Lesions.

Breast Care (Basel) 2019 Mar 12;14(1):30-34. Epub 2018 Oct 12.

Department of Radiology, Ankara University Faculty of Medicine, Ankara, Turkey.

Background: Structural changes during lactation make breast physical examination difficult. When breast problems occur, patients are often referred for an ultrasound (US) scan. Most breast lesions diagnosed in these patients are benign, but the diagnosis of breast cancer is a challenge. Read More

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Idiopathic Granulomatous Mastitis - a new approach in diagnostics and treatment.

Neoplasma 2019 07 23;66(4):661-668. Epub 2019 Jul 23.

Department of Pathology, St. Elizabeth Cancer Institute, Bratislava, Slovakia.

Idiopathic granulomatous mastitis (IGM) is a rare inflammatory breast disease mimicking carcinoma and puerperal or non-puerperal mastitis. The primary purpose of this prospectively performed case control study was to compare clinical and imaging signs of IGM with the reference group of nonspecific, non- puerperal mastitis (NM) to identify the most typical clinical and imaging signs essential for a correct differential diagnosis. The secondary purpose was to present a new approach to non-invasive treatment. Read More

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Diagnostic challenges of tubercular lesions of breast.

J Lab Physicians 2018 Apr-Jun;10(2):179-184

Department of Pathology, Hamdard Institute of Medical Sciences and Research, New Delhi, India.

Introduction: Tuberculosis (TB) in the developing countries presents with both pulmonary and extrapulmonary manifestations. Breast TB, however, remains a rare presentation. Its importance lies in the fact that it may mimic malignancy or present as inflammatory lump/abscess. Read More

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Umbilical Lesions: Clinicopathologic Features of 99 Tumors.

Int J Surg Pathol 2018 Aug 27;26(5):417-422. Epub 2018 Feb 27.

1 Rush University Medical Center, Chicago, IL, USA.

Background: Umbilical lesions are rare, and can be benign or malignant. This retrospective study was conducted to assess the epidemiological, clinical, and histologic characteristics of umbilical masses.

Methods: Cases of umbilical masses from January 1994 to August 2016 were retrieved from our institution's pathology databases, and their clinicopathological features were reviewed. Read More

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Diagnosis and Treatment of 75 Patients with Idiopathic Lobular Granulomatous Mastitis.

Jieqing Li

J Invest Surg 2019 Aug 30;32(5):414-420. Epub 2018 Jan 30.

a Department of Breast Surgery, Tianjin Central Hospital of Gynecology and Obstetrics , Tianjin , China.

Idiopathic granulomatous lobular matitis (IGLM) is a rare non-specific inflammatory disease of the breast. Although IGLM is completely benign, it is easily confused with cancer due to progressive breast lump with firmly unilateral and discrete mass, nipple retraction and sinus formation. Patients with IGLM are usually associated with inflammation of the overlying skin. Read More

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Idiopathic granulomatous mastitis: A diagnostic and therapeutic challenge.

Am J Surg 2017 Oct 8;214(4):701-706. Epub 2017 Jul 8.

Department of Surgery, Division of Surgical Oncology, University of Cincinnati Medical Center, Cincinnati, OH, USA. Electronic address:

Background: Idiopathic granulomatous mastitis is a rare benign breast disease of women of reproductive age. It usually presents as a painful mass. Since the etiology is unclear, directed diagnosis and management is lacking. Read More

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October 2017

Rifampicin for Idiopathic Granulomatous Lobular Mastitis: A Promising Alternative for Treatment.

World J Surg 2017 05;41(5):1313-1321

Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Background: Idiopathic granulomatous lobular mastitis (IGLM) is a chronic, non-caseating, inflammatory breast disease of obscure aetiology characterized by multiple masses, abscesses and sinus formation. There is no standard treatment to date, but surgical procedures and systemic corticosteroids are effective in its treatment despite high recurrence rates.

Patients And Methods: This prospective study including 30 patients with IGLM between November 2012 and May 2016 aimed to investigate the possibility of administration of Rifampicin (300 mg twice daily for a period of 6-9 months) as an alternative therapy for both surgery and corticosteroids in patients with IGLM. Read More

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Granulomatous lobular mastitis secondary to .

Armin Kamyab

World J Clin Cases 2016 Dec;4(12):409-412

Armin Kamyab, Department of Surgery, Cox Monett Hospital, Monett, MO 65708, United States.

Granulomatous lobular mastitis is a rare inflammatory disease of the breast of unknown etiology. Most present as breast masses in women of child-bearing age. A 29-year-old female presented with a swollen, firm and tender right breast, initially misdiagnosed as mastitis. Read More

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December 2016

Magnetic resonance imaging features of idiopathic granulomatous mastitis: is there any contribution of diffusion-weighted imaging in the differential diagnosis?

Radiol Med 2016 Nov 12;121(11):857-866. Epub 2016 Jul 12.

Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul Universitesi Istanbul Tip Fakultesi Radyoloji A.B.D. Fatih, Istanbul, Turkey.

Purpose: To identify the magnetic resonance imaging (MRI) appearance of idiopathic granulomatous mastitis, and the usefulness of diffusion-weighted magnetic resonance imaging (DW-MRI) in distinguishing idiopathic granulomatous mastitis (IGM) from malignant breast lesions.

Material And Methods: A total of 37 women (mean age 36 + 8; range 20-67 years) with histopathologic diagnoses of idiopathic granulomatous mastitis were enrolled in the study. Five patients had bilateral IGM, which were evaluated as ten cases. Read More

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November 2016

Are Irregular Hypoechoic Breast Masses on Ultrasound Always Malignancies?: A Pictorial Essay.

Korean J Radiol 2015 Nov-Dec;16(6):1266-75. Epub 2015 Oct 26.

Department of Radiology, Wonkwang University Hospital, Iksan 54538, Korea.

Irregular hypoechoic masses in the breast do not always indicate malignancies. Many benign breast diseases present with irregular hypoechoic masses that can mimic carcinoma on ultrasonography. Some of these diseases such as inflammation and trauma-related breast lesions could be suspected from a patient's symptoms and personal history. Read More

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Quantitative Maximum Shear-Wave Stiffness of Breast Masses as a Predictor of Histopathologic Severity.

AJR Am J Roentgenol 2015 Aug;205(2):448-55

5 SuperSonic Imagine, Aix-en-Provence, France.

Objective: The objective of our study was to compare quantitative maximum breast mass stiffness on shear-wave elastography (SWE) with histopathologic outcome.

Subjects And Methods: From September 2008 through September 2010, at 16 centers in the United States and Europe, 1647 women with a sonographically visible breast mass consented to undergo quantitative SWE in this prospective protocol; 1562 masses in 1562 women had an acceptable reference standard. The quantitative maximum stiffness (termed "Emax") on three acquisitions was recorded for each mass with the range set from 0 (very soft) to 180 kPa (very stiff). Read More

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Ultrasound of pediatric breast masses: what to do with lumps and bumps.

Pediatr Radiol 2015 Oct 12;45(11):1584-99; quiz 1581-3. Epub 2015 Jul 12.

Department of Radiology, University of Washington School of Medicine, Seattle, WA, USA.

The approach to breast masses in children differs from that in adults in many ways, including the differential diagnostic considerations, imaging algorithm and appropriateness of biopsy as a means of further characterization. Most pediatric breast masses are benign, either related to breast development or benign neoplastic processes. Biopsy is rarely needed and can damage the developing breast; thus radiologists must be familiar with the imaging appearance of common entities so that biopsies are judiciously recommended. Read More

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October 2015

Role of directional vacuum assisted breast biopsy in previously equivocal biopsies for breast masses suspicious for malignancy.

Malays J Pathol 2015 Apr;37(1):25-33

Postgraduate Institute of Medical Education and Research, Department of Superspeciality of Gastroenterology, Division of GE Radiology, Chandigarh (UT) -160 012 India.

Unlabelled: Among percutaneous biopsy techniques, the vacuum assisted breast biopsy (VAB) obtains large tissue samples to alleviate some of the limitations associated with conventional percutaneous biopsy techniques. We aimed to determine the efficacy of VAB in previous equivocal biopsies using the mammotome device.

Materials And Methods: A prospective non-randomized efficacy study was planned and executed on 43 patients (42 women, 1 man) whose previous FNAC and/or CNB of breast masses yielded inconclusive results or were suspicious for cancer. Read More

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