Open AccessSarcoidosis of the breasts – when should it be considered? A case report
Author(s) -
Dominíka Jaguś,
Ivan Yafimtsau,
Robert Krzysztof Mlosek,
Luiza Jończak,
Katarzyna RoszkowskaPurska,
Katarzyna DobruchSobczak
Publication year - 2022
Publication title -
journal of ultrasonography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.146
H-Index - 3
eISSN - 2451-070X
pISSN - 2084-8404
DOI - 10.15557/jou.2022.0022
Subject(s) - medicine , sarcoidosis , radiology , presentation (obstetrics) , mammography , axillary lymphadenopathy , etiology , mediastinal lymphadenopathy , systemic disease , disease , mediastinum , pathology , dermatology , biopsy , breast cancer , cancer
Sarcoidosis is a systemic inflammatory disease of unknown aetiology. Given its complex clinical presentation, the disorder frequently causes diagnostic challenges. In most cases, the primary manifestation is in the lungs and mediastinum. Breast involvement as the primary manifestation of sarcoidosis is rare, accounting for less than 1% of cases. The authors present the case of a 44-year-old woman whose disease first manifested as multiple non-specific BIRADS 4 lesions in both breasts, accompanied by axillary lymphadenopathy, detected by ultrasound examination. The lesions were not visible on mammography. The course of the disease was clinically silent, with intermittent remissions, until the complete resolution of focal breast lesions on ultrasound after two years of follow-up. The paper presents an algorithm for the management of multifocal breast pathology with associated lymphadenopathy, which led to the prompt verification of sarcoidosis.