Table 3.
Histopathological findings in lupus mastitis
Study | Location | Pathology |
---|---|---|
Arsenovic and Terzic23 | Right breast | Extensive hyaline fat necrosis associated with a lymphocytic infiltrate, both surrounding and in the lobular septa; microcalcifications present; lymphocytic vasculitis |
Bachmeyer et al18 | Right breast | Voluminous calcifications with a fibrous reaction in breast parenchyma and rare ducts surrounded by lymphocytic infiltrate |
Bayar et al3 | Right breast | Extensive stromal fibrosis, ductal and lobular atrophy and scattered stromal lymphocytes infiltrating some ducts |
Carducci et al7 | Right breast | Lymphocytic lobular panniculitis with fat necrosis |
Castro et al5 | Right breast | Lymphoplasmacytic infiltrate rich in xanthomatous histiocytes, fat necrosis and ductal hyperplasia |
Cernea et al24 | Left breast | Hyalinisation of subcutaneous fat cells and collagen in the dermis with lymphocytic infiltrate |
Cerveira et al15 | Left breast | Lobular and periseptal panniculitis with focal hyaline fat necrosis, lymphocytic infiltrate and coarse calcifications |
Chen et al6 | Both breasts | Extensive mixed inflammatory cell infiltrate of lymphocytes, plasma cells around breast lobules and small vessel walls |
Crevits et al16 | Right breast | No biopsy or excision performed |
De Bandt et al8 | Both breasts | Hyaline fat coagulation, lymphocytic reaction and hyalinization of fat lobules with sclerosis/microcalcifications |
Fernandez-Flores11 | Left breast | Lymphocytic panniculitis and vasculitis |
Fernandez-Torres11 | Left breast | Hyaline fat necrosis/calcifications, lymphocytic vasculitis; lymphoplasmacytic infiltrate in the reticular dermis/subcutaneous fat, germinal centres present |
Georgian-Smith et al17 | Left breast | Fat necrosis with microcalcification. Mastectomy confirmed the diagnosis of lupus mastitis |
Guerre et al19 | Both breasts | Lymphocytic panniculitis with fat necrosis |
Harris and Winkelmann28 | Left breast | Did not describe specific features – ‘consistent with lupus erythematosus panniculitis’ |
Harris and Winkelmann28 | Both breasts | Biopsy never performed |
Holland et al20 | Right breast | Fat necrosis and inflammation |
Holland et al20 | Right breast | Chronic inflammation and fat necrosis compatible with panniculitis |
Kinonen et al4 | Both breasts | Hyaline fat necrosis with lymphocytes in the subcutaneous fat, with germinal centre formation |
Kinonen et al4 | Left breast | Prominent hyaline fat necrosis with widespread lymphocytic infiltration of the adipose tissue |
Martella et al12 | Left breast | Panniculitis with areas of hyaline necrosis, perivascular inflammation and vasculitis |
Nigar et al25 | Right breast | Inflammation and degenerative features consistent with lupus mastitis |
Pons and Ortiz-Medina29 | Both breasts | Findings suggestive of lupus mastitis |
Sabate et al26 | Left breast | Lobular panniculitis, including areas of hyaline and fat necrosis, perivascular lymphocytic inflammation and vasculitis |
Summers et al10 | Right breast | Lobular lymphocytic panniculitis with lymphoplasmacytic infiltrates extending into fat and hyaline sclerosis of fat lobules |
Tuffanelli DL13 | Right breast | Lymphocytic panniculitis |
Vidal Pich et al14 | Right breast | Findings suggestive of lupus mastitis |
Wang et al21 | Both breasts | Coarse dystrophic calcification, fatty necrosis and perivascular lymphocyte infiltration |
Wani et al22 (BMJ case reports) | Left breast | Did not describe specific features – ‘consistent with lupus mastitis’ |
Current case | Right breast | Fat necrosis with prominent calcifcation and sclerosis, lymphocytic infiltrates/vasculitis |
Winkelmann9 | Breast | ductal calcification |