PMC9899441_01
Ultrasound scans.. Left breast showing widespread infiltration of the lower quadrants structure (A), associated with homolateral axillary adenopathy of uniform ultrasound ISO structure (B). Mammogram of the left breast, external face (C) and profile (D) showing an opaque veil heterogeneous and little restricted of the lower quadrants.
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FIG1
MRI scans.. Axial slices of the left breast MRI T1 (A), T2 (B), T1 with injected gadolinium (C), injected T2 (D), showing a minimally limited infiltration of retro-mammillary region and lower quadrants, in ISO T1 signal, discretely heterogeneous T2 hypersignal, raising after injection, infiltrating forward the skin and the areolar plaque and back the deep muscular plane, classified BIRADS IVa.
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FIG2
The results of the scan revealed mastitis that is of granulomatous origin classified BIRADS IVa (Breast Imaging-Reporting And Data System) according to the American College of Radiology (ACR) with inflammatory axillary lymph nodes (Figure 2).
Microphotography.. Showing fibrous tissue seat of multiple suppurative lipogranulomas (HE*100) (B), these are composed of central lipid vacuoles bordered with neutrophils and an outer cap of epithelioid histiocytes associated with giant cells Langhans type (HE*200) (A).
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FIG3
A Trucut biopsy was performed, the results of which showed neutrophilic cystic granulomatous mastitis with no signs of tumor proliferation (Figure 3).
Left breast photography, face (A) and profile (B) showing the disappearance of inflammatory signs a few weeks after starting antibacillal treatment.
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FIG4
A few weeks after, there was a total dewatering and disappearance of inflammatory signs (Figure 4).