IgG4-related sclerosing mastitis in a 49-year-old patient with multiple, tumor-like nodules-Diagnostic accuracy of core needle biopsy

Breast J. 2019 Nov;25(6):1251-1253. doi: 10.1111/tbj.13436. Epub 2019 Jul 6.

Abstract

Recently, it has been reported that IgG4-related disease may occur in the breast manifesting as nodular sclerosing interstitial mastitis. Here we report a case with multiple tumor-like nodules in one breast. The histologic diagnosis was established on core needle biopsies, and treatment was initiated without open biopsy. Diagnosis of IgG4-related sclerosing mastitis should be suspected in cases of tumor-like lesions on imaging with an interstitial plasma cell-rich sclerosing inflammation on histology.

Keywords: IgG4; autoimmune disease; histopathology; sclerosing mastitis.

Publication types

  • Case Reports

MeSH terms

  • Biopsy, Large-Core Needle / methods*
  • Breast Neoplasms / diagnosis
  • Breast* / diagnostic imaging
  • Breast* / pathology
  • Diagnosis, Differential
  • Female
  • Humans
  • Image-Guided Biopsy / methods
  • Immunoglobulin G4-Related Disease / diagnosis
  • Immunoglobulin G4-Related Disease / pathology
  • Immunoglobulin G4-Related Disease / physiopathology
  • Magnetic Resonance Imaging / methods
  • Mammography / methods
  • Mastitis / immunology
  • Mastitis / pathology*
  • Middle Aged
  • Plasma Cells* / immunology
  • Plasma Cells* / pathology
  • Sclerosis
  • Ultrasonography, Interventional / methods