113 results match your criteria: "Breast Abscesses and Masses"

Cystic neutrophilic granulomatous mastitis (CNGM) is a rare type of granulomatous lobular mastitis (GLM) with a distinct histologic pattern characterized on histopathology by clear lipid vacuoles lined by peripheral neutrophils ("suppurative lipogranulomas"), often containing gram-positive bacilli and strongly associated with Corynebacterial infection (in particular, Corynebacterium kroppenstedtii). Cystic neutrophilic granulomatous mastitis has a distinct histopathologic appearance, but the imaging appearance is less well described and has been limited to case reports and small case series published primarily in pathology literature. Mammographic findings of CNGM include focal asymmetry, skin thickening, and irregular or oval masses.

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Evolution of a local adolescent breast imaging service.

Clin Radiol

December 2024

Barts Health NHS Trust W Smithfield, London, EC1A 7BE, UK.

Article Synopsis
  • A dedicated paediatric breast clinic was established in 2020 to improve the referral process and standardize management for patients under 18 with breast-related symptoms, replacing varied local approaches.
  • A retrospective study from 2017 to 2022 revealed an increase in referrals, mainly for breast lumps in the 15-18 age group, with ultrasound findings showing a significant number of normal breasts and fibroadenomas.
  • The new clinic has led to more efficient care, reducing unnecessary procedures and easing the burden on adult breast units, while highlighting the need for timely reviews of unusual cases.
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Nonlactational Mastitis in Western Brazilian Amazon Mastitis Cases.

Am J Trop Med Hyg

December 2024

Programa de Pós-Graduação em Tocoginecologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, Brazil.

Chronic mastitis varies in etiology between its lactational and nonlactational forms and can be challenging to diagnose. This study aimed to assess the epidemiological profile and diverse etiologies of nonlactational mastitis in Amazonas, Brazil, focusing on distinguishing between tuberculous mastitis (TM) and idiopathic granulomatous mastitis (IGM). This is a retrospective and prospective study that was carried out at the mastitis outpatient clinic of Fundação de Medicina Tropical Doutor Heitor Vieira Dourado from 2013 to 2021 and evaluated epidemiological data, imaging, and laboratory tests.

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Empyema necessitans is a very rare and morbid complication of pleural empyema. It is defined as the extension of pleural infection to the chest wall and surrounding soft tissues. Our case highlights an unusual presentation of empyema necessitans in a 29-year-old man.

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Article Synopsis
  • Mastitis is a breast inflammation condition caused by various infections and non-infectious factors, which can lead to severe complications if not treated properly, often resembling breast cancer symptoms.
  • The study aimed to analyze the characteristics, causes, and clinical imaging patterns of mastitis in 65 patients over a year.
  • Results showed a mix of infectious (47.6%) and non-infectious (52%) cases, with granulomatous mastitis being particularly common, emphasizing the need for a collaborative approach in diagnosing and managing the condition.
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Background: Tuberculous mastitis (TBM), is an uncommon form of extra-pulmonary tuberculosis. Clinical and radiological overlap of tuberculous mastitis with malignancy and other granulomatous conditions, along with its paucibacillary nature, make it a diagnostic challenge. In our study, we aim to assess the radiological response of microbiologically negative granulomatous mastitis cases to anti-tuberculous treatment (ATT) in an endemic country.

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BACKGROUND Breast cancer (BC) is the most common malignant disease in females and one of the leading causes of death worldwide. Its treatment plan includes a long-term follow-up and close surveillance, as recurrence is a well-acknowledged concern. BC can recur either locally or as a metastasis, and skin metastasis is a common complication in advanced breast cancer patients.

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Case report: Poorly differentiated breast carcinoma presenting as a breast abscess.

Radiol Case Rep

June 2024

Cardiolgy Department, Royal Brompton Hospital, Guy's and St Thomas's NHS Foundation Trust, London, United Kingdom.

We report a case of 31-year-old female with no past medical history who presented with sudden onset discharging skin ulcer in left inframammary fold with erythema and swelling immediately after she came back from holiday for which she presented to the breast one stop clinic and underwent ultrasound-guided aspiration of the detected cystic lesion in the left breast with impression of breast abscess. Afterwards, as the result of cytology reporting as C5, ultrasound-guided Core-Needle Biopsy was performed, which confirmed poorly differentiated carcinoma of breast. Furthermore, similar necrotizing masses were found in axillary lymph nodes and Liver.

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Retroperitoneal fibrosis (RPF), also referred to as Ormond's disease, is a rare fibroinflammatory condition characterized by abnormal fibrous tissue deposition in the retroperitoneal space, which traditionally presents with ureteral obstruction. Nonetheless, our case report showcases an exceptional instance involving a 70-year-old female patient who presented with symptoms suggestive of colonic obstruction, an unusual presentation that is not commonly associated with RPF. Although RPF has established associations with autoimmune conditions such as immunoglobulin G4-related disease and systemic lupus erythematosus, its connection to colonic obstruction remains undocumented in the medical literature.

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Multimodality Imaging of Benign and Malignant Diseases of the Nipple-Areolar Complex.

Radiographics

April 2024

From the Departments of Breast Imaging (M.S.G., E.M.A., M.M.K., M.M.P., F.P., E.S.N., T.W.M., B.E.A.), Pathology-Anatomical (Q.D.), and Breast Surgical Oncology (T.W.M.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1350, Houston, TX 77030.

Article Synopsis
  • - The nipple-areolar complex (NAC) is a crucial part of breast anatomy that can be affected by various benign and malignant diseases, often presenting overlapping symptoms and imaging findings.
  • - Understanding NAC's unique structure and the various conditions affecting it is key for accurate diagnosis; this includes assessing nipple discharge, which can signal serious issues like breast cancer.
  • - A multimodal imaging approach, particularly utilizing breast MRI alongside other techniques, is essential for evaluating NAC diseases and guiding appropriate clinical management, including biopsy options for testing identified issues.
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Introduction: Mastalgia was the most common symptom in patients attending a breast clinic. The two most common types of mastalgia were (cyclical and non-cyclical). The common cause of cyclical was Physiological changes due to premenstrual tension syndrome fibrocystic changes or fibroadenosis and (Aberrations in the Normal Development and Involution of the breast ).

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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.

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Challenges in the Management of Breast Conditions During Lactation.

Obstet Gynecol Clin North Am

March 2022

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.

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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.

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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.

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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.

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Breast Disorders in Adolescence: A Review of the Literature.

Breast Care (Basel)

April 2021

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

Article Synopsis
  • Adolescence involves significant changes in breast development that can impact psychological and social aspects of a teenager's life.
  • A review of studies reveals various breast disorders in adolescents, including congenital abnormalities, infections, and benign masses, alongside very rare cases of breast cancer.
  • Effective early diagnosis and treatment of breast disorders are essential for supporting the mental health and social wellbeing of adolescents, often requiring a team of healthcare professionals for optimal care.*
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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.

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

Dig Dis Sci

January 2022

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.

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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.

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