Abstract

RODRIGUES, Susana L et al. Breast Sarcoidosis: An Unusual Manifestation. Acta Radiol Port [online]. 2023, vol.35, n.2, pp.30-32.  Epub Aug 31, 2023. ISSN 2183-1351.  https://doi.org/10.25748/arp.27792.

Breast involvement in the context of systemic sarcoidosis is rare and may mimic a malignant lesion. Imaging studies contribute to the detection of breast lesions but are not useful in establishing a definitive diagnosis. Thus, malignancy must be excluded by histological biopsy in order to confirm the early diagnosis. We report a case of breast involvement by sarcoidosis in a 63-year-old woman with known systemic sarcoidosis. Mammography shows multiple oval masses with microlobulated edges and high density, without microcalcifications. Ultrasonographically, they correlated to solid hypoechoic masses with microlobulated contours, in both breasts, findings that were considered suspicious for malignancy. Breast Magnetic Resonance Imaging (MRI) showed multiple bilateral enhancing masses. Histological examination confirmed breast involvement by sarcoidosis.

Keywords : Breast; Sarcoidosis; Granulomatosis disease; Mammography; Ultrasound; Magnetic resonance..

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