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Case Reports in Medicine
Volume 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.

Linked References

  1. S. Klein, “Evaluation of palpable breast masses,” American Family Physician, vol. 71, no. 9, pp. 1731–1738, 2005. View at Google Scholar · View at Scopus
  2. C. U. Poovamma, V. A. Pais, S. C. Dolas, M. Prema, R. Khandelwal, and R. Nisheena, “Idiopathic granulomatous mastitis: a rare entity with a variable presentation,” Breast Diseases, vol. 34, no. 3, pp. 101–104, 2014. View at Publisher · View at Google Scholar
  3. M. A. Judson, “The management of sarcoidosis by the primary care physician,” The American Journal of Medicine, vol. 120, no. 5, pp. 403–407, 2007. View at Publisher · View at Google Scholar · View at Scopus
  4. C. Lanng, B. Ø. Eriksen, and J. Hoffmann, “Lipoma of the breast: a diagnostic dilemma,” Breast, vol. 13, no. 5, pp. 408–411, 2004. View at Publisher · View at Google Scholar · View at Scopus
  5. G. T. Williams and W. J. Williams, “Granulomatous inflammation: a review,” Journal of Clinical Pathology, vol. 36, no. 7, pp. 723–733, 1983. View at Publisher · View at Google Scholar · View at Scopus
  6. M. Tewari and H. S. Shukla, “Breast tuberculosis: diagnosis, clinical features and management,” Indian Journal of Medical Research, vol. 122, no. 2, pp. 103–110, 2005. View at Google Scholar · View at Scopus
  7. S. H. Harris, M. A. Khan, R. Khan, F. Haque, A. Syed, and M. M. Ansari, “Mammary tuberculosis: analysis of thirty-eight patients,” ANZ Journal of Surgery, vol. 76, no. 4, pp. 234–237, 2006. View at Publisher · View at Google Scholar · View at Scopus
  8. A. Gemal, J. Keravec, A. Menezes, and A. Trajman, “Can Brazil play a more important role in global tuberculosis drug production? An assessment of current capacity and challenges,” BMC Public Health, vol. 13, no. 1, article 279, 2013. View at Publisher · View at Google Scholar · View at Scopus
  9. S. Kakkar, K. Kapila, M. K. Singh, and K. Verma, “Tuberculosis of the breast. A cytomorphologic study,” Acta Cytologica, vol. 44, no. 3, pp. 292–296, 2000. View at Publisher · View at Google Scholar · View at Scopus
  10. A. Akcakaya, R. Eryilmaz, M. Sahin, and O. V. Ozkan, “Tuberculosis of the breast,” The Breast Journal, vol. 11, no. 1, pp. 85–86, 2005. View at Publisher · View at Google Scholar · View at Scopus
  11. M. Tewari and H. S. Shukla, “Breast tuberculosis: Diagnosis, clinical features & management,” Indian Journal of Medical Research, vol. 122, no. 2, pp. 103–110, 2005. View at Google Scholar · View at Scopus
  12. R. Khanna, G. V. Prasanna, P. Gupta, M. Kumar, S. Khanna, and A. K. Khanna, “Mammary tuberculosis: report on 52 cases,” Postgraduate Medical Journal, vol. 78, no. 921, pp. 422–424, 2002. View at Publisher · View at Google Scholar · View at Scopus
  13. D. Y. Keum, J. B. Kim, and C. K. Park, “Surgical treatment of a tuberculous abscess of the chest wall,” Korean Journal of Thoracic and Cardiovascular Surgery, vol. 45, no. 3, pp. 177–182, 2012. View at Publisher · View at Google Scholar · View at Scopus
  14. J. van Keirsbilck, I. Riphagen, H. Struyven et al., “Bilateral mammary tuberculosis associated with a borderline ovarian tumor,” Breast Care, vol. 3, no. 3, pp. 200–203, 2008. View at Publisher · View at Google Scholar · View at Scopus
  15. M. Pai, L. W. Riley, and J. M. Colford Jr., “Interferon-γ assays in the immunodiagnosis of tuberculosis: a systematic review,” The Lancet Infectious Diseases, vol. 4, no. 12, pp. 761–766, 2004. View at Publisher · View at Google Scholar · View at Scopus
  16. K. B. Sriram, D. Moffatt, and R. Stapledon, “Tuberculosis infection of the breast mistaken for granulomatous mastitis: a case report,” Cases Journal, vol. 1, no. 1, p. 273, 2008. View at Google Scholar
  17. M. C. Iannuzzi and J. R. Fontana, “Sarcoidosis: Clinical presentation, immunopathogenesis, and therapeutics,” Journal of the American Medical Association, vol. 305, no. 4, pp. 391–399, 2011. View at Publisher · View at Google Scholar · View at Scopus
  18. M. Haroon, J. G. Ryan, and S. Harney, “Development of sarcoidosis 6-month post discontinuation of etanercept: coincidence or real association?” Clinical Rheumatology, vol. 30, no. 8, pp. 1095–1098, 2011. View at Publisher · View at Google Scholar · View at Scopus
  19. R. P. Baughman, E. E. Lower, and A. H. Kaufman, “Ocular sarcoidosis,” Seminars in Respiratory and Critical Care Medicine, vol. 31, no. 4, pp. 452–462, 2010. View at Publisher · View at Google Scholar · View at Scopus
  20. A. Christoforidou, J. Goudakos, M. Bobos, E. Lefkaditis, V. Vital, and K. Markou, “Sarcoidosis-like granulomatosis of the hypopharynx as a complication of anti-TNF therapy,” The American Journal of Otolaryngology—Head and Neck Medicine and Surgery, vol. 34, no. 3, pp. 268–272, 2013. View at Publisher · View at Google Scholar · View at Scopus
  21. N. L. Müller, J. B. Mawson, J. R. Mathieson, R. Abboud, D. N. Ostrow, and P. Champion, “Sarcoidosis: correlation of extent of disease at CT with clinical, functional, and radiographic findings,” Radiology, vol. 171, no. 3, pp. 613–618, 1989. View at Publisher · View at Google Scholar · View at Scopus
  22. L. M. Isley, A. R. Cluver, R. J. Leddy, and M. K. Baker, “Primary sarcoid of the breast with incidental malignancy,” Journal of Clinical Imaging Science, vol. 2, article 46, 2012. View at Publisher · View at Google Scholar
  23. M. M. Rodrigues, E. N. A. M. Coletta, R. G. Ferreira, and C. A. D. C. Pereira, “Delayed diagnosis of sarcoidosis is common in Brazil,” Jornal Brasileiro de Pneumologia, vol. 39, no. 5, pp. 539–546, 2013. View at Publisher · View at Google Scholar · View at Scopus
  24. G. Hermann, C. Nagi, J. Mester, and A. Tierstein, “Unusual presentation of sarcoidosis of the breast,” British Journal of Radiology, vol. 81, no. 969, pp. e231–e233, 2008. View at Publisher · View at Google Scholar · View at Scopus
  25. H. Ojeda, A. Sardi, and A. Totoonchie, “Sarcoidosis of the breast: implications for the general surgeon,” The American Surgeon, vol. 66, no. 12, pp. 1144–1148, 2000. View at Google Scholar · View at Scopus
  26. T. S. Gansler and J. E. Wheeler, “Mammary sarcoidosis. Two cases and literature review,” Archives of Pathology and Laboratory Medicine, vol. 108, no. 8, pp. 673–675, 1984. View at Google Scholar · View at Scopus
  27. M. J. Ross and M. J. Merino, “Sarcoidosis of the breast,” Human Pathology, vol. 16, no. 2, pp. 185–187, 1985. View at Publisher · View at Google Scholar · View at Scopus
  28. K. Wilhelm, A. Teifke, J. Muller-Quernheim, and M. Mitze, “Extrapulmonary manifestation of sarcoidosis in the mammary gland,” Aktuelle Radiologie, vol. 4, no. 2, pp. 103–105, 1994. View at Google Scholar · View at Scopus
  29. J. M. Sabaté, M. Clotet, A. Gómez, P. de Las Heras, S. Torrubia, and T. Salinas, “Radiologic evaluation of uncommon inflammatory and reactive breast disorders,” Radiographics, vol. 25, no. 2, pp. 411–424, 2005. View at Publisher · View at Google Scholar · View at Scopus
  30. A. Vaglio, C. Buzio, and J. Zwerina, “Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): state of the art,” Allergy, vol. 68, no. 3, pp. 261–273, 2013. View at Publisher · View at Google Scholar · View at Scopus
  31. A. Mahr, F. Moosig, T. Neumann et al., “Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): evolutions in classification, etiopathogenesis, assessment and management,” Current Opinion in Rheumatology, vol. 26, no. 1, pp. 16–23, 2014. View at Publisher · View at Google Scholar · View at Scopus
  32. C. Pagnoux, P. Guilpain, and L. Guillevin, “Churg-strauss syndrome,” Current Opinion in Rheumatology, vol. 19, no. 1, pp. 25–32, 2007. View at Publisher · View at Google Scholar · View at Scopus
  33. W. Szczeklik, P. Grzanka, L. Mastalerz, B. Sokoåowska, and J. Musial, “Lung involvement in Churg-Strauss syndrome as related to the activity of the disease,” Allergy, vol. 65, no. 11, pp. 1484–1485, 2010. View at Publisher · View at Google Scholar · View at Scopus
  34. A. Bourgarit, P. Le Toumelin, C. Pagnoux et al., “Deaths occurring during the first year after treatment onset for polyarteritis nodosa, microscopic polyangiitis, and Churg-Strauss syndrome: a retrospective analysis of causes and factors predictive of mortality based on 595 patients,” Medicine, vol. 84, no. 5, pp. 323–330, 2005. View at Publisher · View at Google Scholar · View at Scopus
  35. L. Guillevin, C. Pagnoux, R. Seror, A. Mahr, L. Mouthon, and P. L. Toumelin, “The five-factor score revisited: assessment of prognoses of systemic necrotizing vasculitides based on the french vasculitis study group (FVSG) cohort,” Medicine, vol. 90, no. 1, pp. 19–27, 2011. View at Publisher · View at Google Scholar · View at Scopus
  36. M. Furuiye, N. Yoshimura, A. Kobayashi et al., “Churg-strauss syndrome versus chronic eosinophilic pneumonia on high-resolution computed tomographic findings,” Journal of Computer Assisted Tomography, vol. 34, no. 1, pp. 19–22, 2010. View at Publisher · View at Google Scholar · View at Scopus
  37. D. S. Allende and C. N. Booth, “Wegener's granulomatosis of the breast: a rare entity with daily clinical relevance,” Annals of Diagnostic Pathology, vol. 13, no. 5, pp. 351–357, 2009. View at Publisher · View at Google Scholar · View at Scopus
  38. V. Villalba-Nuño, J. M. Sabaté, A. Gómez et al., “Churg-Strauss syndrome involving the breast: a rare cause of eosinophilic mastitis,” European Radiology, vol. 12, no. 3, pp. 646–649, 2002. View at Publisher · View at Google Scholar · View at Scopus
  39. A. Atili, C. Richter, E. Bahn, H. H. Rustenbeck, and M. Schittkowski, “Bereich Strabologie und Neuroophthalmologie, Augen-Praxis-Klink Esslingen. [Ocular manifestations of Churg-Strauss syndrome: review article and case report],” Ophthalmologe, vol. 110, no. 11, pp. 1051–1057, 2013 (German). View at Publisher · View at Google Scholar · View at Scopus
  40. B. Ben Dhaou, F. Derbali, F. Boussema et al., “Eosinophilic nodule of the breast: a rare manifestation in the Churg-Strauss syndrome,” La Tunisie Médicale, vol. 90, no. 10, pp. 752–753, 2012. View at Google Scholar · View at Scopus
  41. National Cancer Institute, “Definition of lymphoma,” 2014, http://www.cancer.gov/dictionary?cdrid=45368.
  42. M. Batrani and J. Bhawan, “Pitfalls in the diagnosis of cutaneous lymphoma,” The American Journal of Dermatopathology, vol. 36, no. 1, pp. 90–100, 2014. View at Publisher · View at Google Scholar · View at Scopus
  43. D. Basu and M. Bundele, “Angioimmunoblastic T-cell lymphoma obscured by concomitant florid epithelioid cell granulomatous reaction—a case report,” Indian Journal of Pathology and Microbiology, vol. 48, no. 4, pp. 500–502, 2005. View at Google Scholar · View at Scopus
  44. S. M. Domchek, J. L. Hecht, M. D. Fleming, G. S. Pinkus, and G. P. Canellos, “Lymphomas of the breast: primary and secondary involvement,” Cancer, vol. 94, no. 1, pp. 6–13, 2002. View at Publisher · View at Google Scholar · View at Scopus
  45. E. Shim, S. E. Song, B. K. Seo, Y.-S. Kim, and G. S. Son, “Lymphoma affecting the breast: a pictorial review of multimodal imaging findings,” Journal of Breast Cancer, vol. 16, no. 3, pp. 254–265, 2013. View at Publisher · View at Google Scholar · View at Scopus
  46. C. Wiseman and K. T. Liao, “Primary lymphoma of the breast.,” Cancer, vol. 29, no. 6, pp. 1705–1712, 1972. View at Publisher · View at Google Scholar · View at Scopus
  47. A. Surov, H. J. Holzhausen, A. Wienke et al., “Primary and secondary breast lymphoma: prevalence, clinical signs and radiological features,” British Journal of Radiology, vol. 85, no. 1014, pp. e195–e205, 2012. View at Publisher · View at Google Scholar · View at Scopus
  48. G. Gualco, L. Chioato, W. J. Harrington Jr., L. M. Weiss, and C. E. Bacchi, “Primary and secondary T-cell lymphomas of the breast: clinico-pathologic features of 11 cases,” Applied Immunohistochemistry and Molecular Morphology, vol. 17, no. 4, pp. 301–306, 2009. View at Publisher · View at Google Scholar · View at Scopus
  49. S. S. Talwalkar, R. N. Miranda, J. R. Valbuena, M. J. Routbort, A. W. Martin, and L. J. Medeiros, “Lymphomas involving the breast: a study of 106 cases comparing localized and disseminated neoplasms,” The American Journal of Surgical Pathology, vol. 32, no. 9, pp. 1299–1309, 2008. View at Publisher · View at Google Scholar · View at Scopus