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European Radiology

, Volume 11, Issue 11, pp 2236–2240 | Cite as

Mammographic and sonographic findings in the diagnosis of idiopathic granulomatous mastitis

  • Erkan Yilmaz
  • Banu Lebe
  • Can Usal
  • Pinar Balci
Breast

Abstract.

The aim of this study was to describe the mammographic and sonographic findings of idiopathic granulomatous mastitis which is a rare inflammatory disease of the breast of unknown etiology. The clinical, radiologic, and pathologic features of 12 cases with idiopathic granulomatous mastitis were retrospectively reviewed. Mammography was performed in all cases, 8 of which showed a focal asymmetric density, 3 had a mass with irregular margins, and 1 had no abnormality. Sonography was performed in 10 cases, and a focal area with inhomogeneous and hypoechoic pattern was depicted in 6 cases, 4 of which were associated with internal tubular hypoechoic structures. One case revealed a hypoechoic mass consistent with malignancy. In 1 case sonography showed an edematous pattern involving nearly the entire breast. Two patients had normal sonograms. If a focal asymmetric density is seen in mammography and inhomogeneous hypoechogenity with internal hypoechoic tubular structures accompany ultrasonographically, these findings should suggest the possibility of idiopathic granulomatous mastitis; however, very often idiopathic granulomatous mastitis mimics a breast carcinoma clinically and the final diagnosis should be reached histopatologically due to high false-positive and false-negative mammographic appearances.

Idiopathic granulomatous mastitis Mammography Ultrasonography 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Erkan Yilmaz
    • 1
  • Banu Lebe
    • 2
  • Can Usal
    • 1
  • Pinar Balci
    • 1
  1. 1.Department of Radiology, Dokuz Eylül University Hospital, İnciraltı, 35340 İzmir, TurkeyTurkey
  2. 2.Department of Pathology, Dokuz Eylül University Hospital, İnciraltı, 35340 İzmir, TurkeyTurkey

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