Question:

Which statement concerning the clinical course of lupus mastitis is false.
1. Lupus mastitis is usually painful.
2. Superficial lesions tend to be palpable.
3. Lesions are almost always bilateral.
4. Lupus mastitis usually resolves with treatment.
5. Lupus mastitis can mimic Paget`s Carcinoma of the breast.





Answer:

The correct answer for the question "Which statement concerning the clinical course of lupus mastitis is false." is:

4. Lupus mastitis usually resolves with treatment.



Explanation
1. Acutely, Lupus mastitis is usually painful, and often associated with masses which are occasionally multiple and bilateral [1-3,11-12].

2. Palpable superficial lesions tend to involve the skin, especially with the discoid variant [1-3,11-12].

3. Lesions are occasionally bilateral. Acutely, Lupus mastitis is usually painful, and often associated with masses which are occasionally multiple and bilateral. Acutely lesions tend to be singular and unilateral.  However given the chronic nature of lupus mastitis and the fact that not all lesions resolve, lesions eventually tend to involve both breasts [1-3,11-12].

4. Because the course of the disease is chronic, Lupus mastitis may recur at the same place, or present de novo in either breast.  Additionally multiple lesions at different points of acuity may be present simultaneously [1-3,11-12].

5. In rare cases, Lupus mastitis may mimic a Paget`s Carcinoma when atrophy, ulceration, and erythematous changes are severe enough [3,7].



From the manuscript:
Serial MR Findings and Comprehensive Review of Bilateral Lupus Mastitis with an Additional Case Report
Radiology Case. 2013 Jan; 7(1):48-58


This article belongs to the Mamms section.




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From the manuscript

Serial MR Findings and Comprehensive Review of Bilateral Lupus Mastitis with an Additional Case Report

Free full text article: Serial MR Findings and Comprehensive Review of Bilateral Lupus Mastitis with an Additional Case Report

Abstract
Lupus Mastitis (LM) is a rare presentation of lupus panniculitis involving the breast. Because it often presents as a tender palpable mass, a workup for malignancy usually ensues. It is well documented that surgery may worsen the condition; therefore, it is important to consider LM in the differential of a palpable breast mass in patients with systemic lupus erythematosus (SLE). Currently, management of LM remains primarily medical. We discuss the multi-disciplinary work-up of LM, and further describe its appearance on serial Magnetic Resonance (MR) exams.






References



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