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- W4385008980 abstract "Introduction: Lupus mastitis is a rare disease. Rarely it can present in a patient without the diagnosis of lupus, being its first and even only manifestation. This makes the diagnosis even more challenging. The authors present a case that shows the difficult clinical pathway from diagnosis to treatment of an infrequent and poorly known disease. Case Report: A 42-year-old female was referred to our breast surgery outpatient clinic for a suspicious lesion in her right breast with a 10-month evolution. The patient had already been submitted to a series of imaging procedures and tissue biopsies. She did not have history of any autoimmune diseases. The patient was evaluated by different specialties and the diagnosis of lupus mastitis posed a challenge for all physicians involved. Since both clinicians and patient were concerned with malignancy, an excisional biopsy was performed. Lupus mastitis was the definitive diagnosis. The postoperative healing was challenging. The question whether excisional biopsy should or not be performed, as well as surgical procedures in general, was brought up. The risk and fear of malignancy were weighted against the gain of the procedure. Conclusion: Lupus mastitis is a rare and likely overlooked disease. It should be taken into consideration as a differential diagnosis for suspicious breast lesions. Need for surgery, being it excisional biopsy or lumpectomy, should be carefully weighted. This decision should be based on the risk of malignancy and efficacy of medical treatment." @default.
- W4385008980 created "2023-07-22" @default.
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- W4385008980 date "2023-07-20" @default.
- W4385008980 modified "2023-10-17" @default.
- W4385008980 title "Lupus mastitis: Suspicious breast lesion as a rare presentation of lupus" @default.
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- W4385008980 doi "https://doi.org/10.5348/100118z06mv2023cr" @default.
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