Bosphorus Med J. 2022; 9(2): 127-131 | DOI: 10.14744/bmj.2022.09327

Granülomatöz Mastit Olgularýnda Memede Volüm Deðiþikliði ve Deformasyon Bulgularýnýn Manyetik Rezonans Görüntüleme ile Deðerlendirilmesi

Fatma Nur Soylu Boy
Fatih Sultan Mehmet Eðitim ve Araþtýrma Hastanesi, Radyoloji Kliniði, Ýstanbul, Türkiye

GÝRÝÞ ve AMAÇ: Bu çalýþmanýn amacý, granülomatöz mastit olan olgularda meme dokusundaki hacim deðiþikliklerinin ve deformasyonun manyetik rezonans bulgularýný deðerlendirmek ve diðer taraf normal meme ile karþýlaþtýrmaktýr.
YÖNTEM ve GEREÇLER: Bu retrospektif çalýþma, histopatolojik olarak kanýtlanmýþ 15 granülomatöz mastit hastasýný içermektedir. Üç planda meme boyutlarý ve meme hacmi hesaplandý. Parankimal ödem, meme baþýnda çekilme ve memede deformasyon bulgularý not edildi.
BULGULAR: Ölçümler, sadece sagital boyut (hasta ve normal memeler için sýrasýyla, 124,4±26 mm ve 116±22,9 mm) ve hacimde [hasta ve normal memeler için sýrasýyla, 329,3 cc (IQR: 245-572 cc) ve 281,6 cc (IQR: 217,3-310,3 cc)] anlamlý artýþ olduðunu gösterdi. Koronal boyut hasta tarafta daha küçük olmakla birlikte, anlamlý farklýlýk göstermedi. Parankimal ödem 10 (%66,6) hastada, deformasyon 4 (%26,6) hastada, meme baþýnda çekilme 5 (%33,3) hastada saptandý.
TARTIÞMA ve SONUÇ: Granülomatöz mastit, etkilenen tarafta meme hacmini artýrmakta olup bu artýþ sagital ve aksiyel çap artýþlarýyla iliþkilidir. Bunun aksine hastalýk, koronal çapta küçülmeye neden olmaktadýr. Deformasyon ve meme baþýnda çekilme hastalýðýn seyri sýrasýnda belli oranlarda geliþebilmektedir.

Anahtar Kelimeler: Granülomatöz mastit, meme, manyetik rezonans görüntüleme.

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MR Imaging Evaluation of the Volume Changes and the Signs of Deformation in the Breasts with Granulomatous Mastitis

Fatma Nur Soylu Boy
Department of Radiology, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey

INTRODUCTION: The objective of this study was to evaluate the volume changes and the findings of deformation in the breasts with granulomatous mastitis and to compare the findings with the contralateral normal breasts.
METHODS: This retrospective study included histopathologically proven 15 granülomatous mastitis (GM) patients. Breast diameters in three planes and the volume were measured on Magnetic resonance imaging (MRI). Parenchymal edema, nipple retraction, and deformation of the breast were noted.
RESULTS: The measurements were only showed significant increase in sagittal diameter (124.4±26 mm and 116±22.9 mm, for diseased and normal breasts, respectively) and volume (329.3 cc [IQR: 245–572 and 281.6 cc [IQR: 217.3–310.3] for diseased and normal sides, respectively) in the breasts with GM when compared with normal side (p<0.05). Coronal diameter was lesser in the diseased side without significant difference. Ten patients showed parenchymal edema (66.6%), four patients had deformation (26.6%), and five patients had nipple retraction (33.3%) on MRI.
DISCUSSION AND CONCLUSION: GM enlarges the breast volume in the affected side which is related with the increase in the axial and sagittal diameters. On the contrary, the disease causes a reduction in the coronal diameter. Deformation and nipple retraction may occur to some extent, in the course of the disease.

Keywords: Breast, granulomatous mastitis, MRI.

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ATIF KOPYALA