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Case Reports in Medicine
Volume 2014 (2014), Article ID 146956, 9 pages
http://dx.doi.org/10.1155/2014/146956
Case Report

Systemic Granulomatous Diseases Associated with Multiple Palpable Masses That May Involve the Breast: Case Presentation and an Approach to the Differential Diagnosis

1Department of Obstetrics and Gynecology, Faculty of Medical Sciences, State University of Campinas (Unicamp), P. O. Box 6111, 13083-970 Campinas, SP, Brazil
2Department of Radiology, Faculty of Medical Sciences, State University of Campinas (Unicamp), 13083-970 Campinas, SP, Brazil
3Division of Dermatopathology, Department of Anatomic Pathology, Faculty of Medical Sciences, State University of Campinas (Unicamp), 13083-970 Campinas, SP, Brazil
4Department of Radiology, Faculty of Medicine, University of São Paulo (USP), 05403-900 São Paulo, SP, Brazil

Received 24 June 2014; Accepted 11 September 2014; Published 30 September 2014

Academic Editor: Larry W. Moreland

Copyright © 2014 Rodrigo Menezes Jales et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Palpable mass is a common complaint presented to the breast surgeon. It is very uncommon for patients to report breast mass associated with palpable masses in other superficial structures. When these masses are related to systemic granulomatous diseases, the diagnosis and initiation of specific therapy can be challenging. The purpose of this paper is to report a case initially assessed by the breast surgeon and ultimately diagnosed as granulomatous variant of T-cell lymphoma, and discuss the main systemic granulomatous diseases associated with palpable masses involving the breast.