Sonographic Appearance of Acute Panniculitis Involving the Breasts

Ho, Wing To; Lam, Poy Wing

doi:10.7863/jum.2002.21.5.581

Cited by 8 publications

(9 citation statements)

References 1 publication

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The lesions are usually tender, within a few centimeters in size and might be visualized on breast ultrasound as echogenic necrotic fat nodules with associated thickening and inflammation of the overlying subcutaneous fat. 5 Because of her multiple breast lumps, our patient was referred to mammography directly and a breast ultrasound examination was not performed in this case. It has also been reported that in patients with suspected breast panniculitis mammography appears superior to ultrasonography, especially for evaluating early microcalcifications as they progress from suspicious to benign in appearance during the course of fat necrosis.…”

Section: Discussionmentioning

confidence: 94%

Nonsuppurative Nodular Panniculitis of the Breast

Rotaru

Punga

Codreanu

et al. 2015

Clinical Breast Cancer

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 94%

Nonsuppurative Nodular Panniculitis of the Breast

Rotaru

Punga

Codreanu

et al. 2015

Clinical Breast Cancer

View full text Add to dashboard Cite

“…Subcutaneous panniculitis refers to a broad spectrum of nonsuppurative inflammatory processes involving the subcutaneous fat layer of the skin (Ho and Lam 2002; Walsh et al 2008; Pinho et al 2007). Normal subcutaneous fat is incorporated as fat cells arranged into lobules surrounded by fibrous septa containing small blood vessels, lymphatic channels, and nerves (Fernando et al 2003).…”

Section: Discussion and Evaluationmentioning

confidence: 99%

“…Clinically, subcutaneous panniculitis usually presents as tender or painless nodules within an extremity, trunk, neck, face, or breast (Ho and Lam 2002; Walsh et al 2008; Fernando et al 2003). Subcutaneous panniculitis typically is associated with the fat of the lower extremities (Pinho et al 2007).…”

Section: Discussion and Evaluationmentioning

confidence: 99%

“…Subcutaneous panniculitis is divided into five histopathologic patterns (Ho and Lam 2002; Walsh et al 2008; Fernando et al 2003; Ter Poorten and Thiers 2002; Ferrara et al 2013): 1) lobular panniculitis without vasculitis, 2) lobular panniculitis with vasculitis, 3) septal panniculitis without vasculitis, 4) septal panniculitis with vasculitis, and 5) mixed panniculitis involving septa and lobules. Lobular panniculitis may be related to idiopathic Weber-Christian disease, trauma, intragenic injections, cold exposure, sickle cell disease, alpha-1 antitrypsin deficiency, pancreatic disease, systemic lupus erythema, scleroderma, erythema induratum, and paraneoplastic disease.…”

Section: Discussion and Evaluationmentioning

confidence: 99%

“…During the subsequent reparative phase, fibroblasts proliferate within the surrounding tissues; during the final stage, fibrosis gradually replaces fat necrosis with little or no calcification. On sonography, subcutaneous breast panniculitis usually appears as a hyperechoic focus within the hypoechoic subcutaneous fat, leading to non-uniformity of the subcutaneous tissue during the initial stage of pathology (Ho and Lam 2002; Taboada et al 2009). During the subsequent reparative and final stages, the margins of the lesions range from well defined, to indistinct or spiculated, depending on the degree of fibrosis.…”

Section: Discussion and Evaluationmentioning

confidence: 99%

See 2 more Smart Citations

Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review

Yuan

Hsu

et al. 2014

SpringerPlus

View full text Add to dashboard Cite

IntroductionWe report a case of a 54-year-old male patient with a hard, painful nodule within his right breast which was misdiagnosed preoperatively as breast cancer.Case descriptionPreoperative work-up included physical examination, non-contrast chest computed tomography (CT), sonography, and sono-guided breast biopsy. Isolated breast panniculitis with vasculitis (BPWV), a rare disease, was diagnosed by histopathologic examination of tissue obtained from excisional biopsy.Discussion and EvaluationSubcutaneous panniculitis with or without vasculitis, a condition of nonsuppurative inflammatory process involving the subcutaneous fat layer of skin, is related to different causes. A palpable benign male breast lesion resembling a malignancy includes gynecomastia, panniculitis with or without vasculitis, fat necrosis, ruptured epidermal cyst, pseudoangiomatous stromal hyperplasia, subareolar abscess, intraductal papilloma, hematoma, and atypical fibroadenoma. To make an accurate preoperative diagnosis of a male breast mass, a physician has to carefully analyze various imaging findings. The cases of BPWV may present as an isolated breast lesion or as a component of a systemic disease. The diagnosis of the reported patient was compatible with an isolated BPWV because panniculitis and/or vasculitis were not present at other sites or organs at the time of diagnosis or during follow-up.ConclusionsExcisional biopsy and clinical data can provide the correct diagnosis and determined the appropriate treatment strategy of a male BPWV.

show abstract

A solitary presentation of panniculitis in a patient with a history of breast cancer

Garcia-Hernandez

López‐García

Huerta

et al. 2018

Annals of Medicine and Surgery

View full text Add to dashboard Cite

IntroductionPanniculits presents as an inflammation of the subcutaneous adipose tissue of the skin. In breast, panniculitis is very rare and is usually a manifestation of underlying inflammatory conditions. The typical presentation is palpable tender nodules, which in cases of breast panniculitis, triggers an extensive work up to exclude a malignancy. Herein we present a case of septal and lobar panniculitis in a female with clinical history of invasive ductal carcinoma.Presentation of the caseA 52-year old female with past medical history of invasive breast carcinoma 5 years prior to the presentation. The patient's chief complaint was a 1-year history of a subcutaneous nodular lesion on her left breast. A core biopsy of the firm nodule showed marked inflammation of the breast. A second skin biopsy showed an abundant chronic inflammatory infiltrate, with lymphocytic vasculitis and neuritis, suggestive of an underlying autoimmune process.DiscussionSubcutaneous panniculitis with or without vasculitis is a rare condition when presenting in the breast. Panniculitis can mimic malignancy and thus, it is important to differentially diagnose it from breast carcinoma. Histologically, it is classified in lobular and septal lymphocytic panniculitis depending on specific diagnostic characteristics.ConclusionPanniculitis of the breast is a rare condition that needs to be included in the differential diagnosis of subcutaneous breast masses. In all cases, but specifically in females with history of breast cancer, panniculitis still should be thought of as a possibility, and imaging as well as other diagnostic techniques can aid in making the correct diagnosis.

show abstract

Sonographic Appearance of Acute Panniculitis Involving the Breasts

Cited by 8 publications

References 1 publication

Nonsuppurative Nodular Panniculitis of the Breast

Nonsuppurative Nodular Panniculitis of the Breast

Isolated panniculitis with vasculitis of the male breast suspicious for malignancy on CT and ultrasound: a case report and literature review

A solitary presentation of panniculitis in a patient with a history of breast cancer

Contact Info

Product

Resources

About