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Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review
INTRODUCTION: We report a case of a 54-year-old male patient with a hard, painful nodule within his right breast which was misdiagnosed preoperatively as breast cancer. CASE DESCRIPTION: Preoperative work-up included physical examination, non-contrast chest computed tomography (CT), sonography, and...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227985/ https://www.ncbi.nlm.nih.gov/pubmed/25392810 http://dx.doi.org/10.1186/2193-1801-3-642 |
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author | Yuan, Wei-Hsin Li, Anna Fen-Yau Hsu, Hui-Chen Chou, Yi-Hong |
author_facet | Yuan, Wei-Hsin Li, Anna Fen-Yau Hsu, Hui-Chen Chou, Yi-Hong |
author_sort | Yuan, Wei-Hsin |
collection | PubMed |
description | INTRODUCTION: We report a case of a 54-year-old male patient with a hard, painful nodule within his right breast which was misdiagnosed preoperatively as breast cancer. CASE DESCRIPTION: Preoperative work-up included physical examination, non-contrast chest computed tomography (CT), sonography, and sono-guided breast biopsy. Isolated breast panniculitis with vasculitis (BPWV), a rare disease, was diagnosed by histopathologic examination of tissue obtained from excisional biopsy. DISCUSSION AND EVALUATION: Subcutaneous panniculitis with or without vasculitis, a condition of nonsuppurative inflammatory process involving the subcutaneous fat layer of skin, is related to different causes. A palpable benign male breast lesion resembling a malignancy includes gynecomastia, panniculitis with or without vasculitis, fat necrosis, ruptured epidermal cyst, pseudoangiomatous stromal hyperplasia, subareolar abscess, intraductal papilloma, hematoma, and atypical fibroadenoma. To make an accurate preoperative diagnosis of a male breast mass, a physician has to carefully analyze various imaging findings. The cases of BPWV may present as an isolated breast lesion or as a component of a systemic disease. The diagnosis of the reported patient was compatible with an isolated BPWV because panniculitis and/or vasculitis were not present at other sites or organs at the time of diagnosis or during follow-up. CONCLUSIONS: Excisional biopsy and clinical data can provide the correct diagnosis and determined the appropriate treatment strategy of a male BPWV. |
format | Online Article Text |
id | pubmed-4227985 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-42279852014-11-12 Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review Yuan, Wei-Hsin Li, Anna Fen-Yau Hsu, Hui-Chen Chou, Yi-Hong Springerplus Case Study INTRODUCTION: We report a case of a 54-year-old male patient with a hard, painful nodule within his right breast which was misdiagnosed preoperatively as breast cancer. CASE DESCRIPTION: Preoperative work-up included physical examination, non-contrast chest computed tomography (CT), sonography, and sono-guided breast biopsy. Isolated breast panniculitis with vasculitis (BPWV), a rare disease, was diagnosed by histopathologic examination of tissue obtained from excisional biopsy. DISCUSSION AND EVALUATION: Subcutaneous panniculitis with or without vasculitis, a condition of nonsuppurative inflammatory process involving the subcutaneous fat layer of skin, is related to different causes. A palpable benign male breast lesion resembling a malignancy includes gynecomastia, panniculitis with or without vasculitis, fat necrosis, ruptured epidermal cyst, pseudoangiomatous stromal hyperplasia, subareolar abscess, intraductal papilloma, hematoma, and atypical fibroadenoma. To make an accurate preoperative diagnosis of a male breast mass, a physician has to carefully analyze various imaging findings. The cases of BPWV may present as an isolated breast lesion or as a component of a systemic disease. The diagnosis of the reported patient was compatible with an isolated BPWV because panniculitis and/or vasculitis were not present at other sites or organs at the time of diagnosis or during follow-up. CONCLUSIONS: Excisional biopsy and clinical data can provide the correct diagnosis and determined the appropriate treatment strategy of a male BPWV. Springer International Publishing 2014-10-30 /pmc/articles/PMC4227985/ /pubmed/25392810 http://dx.doi.org/10.1186/2193-1801-3-642 Text en © Yuan et al.; licensee Springer. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Case Study Yuan, Wei-Hsin Li, Anna Fen-Yau Hsu, Hui-Chen Chou, Yi-Hong Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review |
title | Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review |
title_full | Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review |
title_fullStr | Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review |
title_full_unstemmed | Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review |
title_short | Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review |
title_sort | isolated panniculitis with vasculitis of the male breast suspicious for malignancy on ct and ultrasound: a case report and literature review |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227985/ https://www.ncbi.nlm.nih.gov/pubmed/25392810 http://dx.doi.org/10.1186/2193-1801-3-642 |
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