BREAST BR 12 PLASMA CELL MASTITIS A REPORT

BREAST: BR 12

PLASMA CELL MASTITIS: A REPORT CASE L. EL ASSASSE, R. LATIB, S. BOUTACHALI, L. JROUNDI, I. CHAMI, M. N BOUJIDA Radiology service. National Institute of Oncology. Rabat. Morocco

Introduction: �The plasma cell mastitis is a chronic inflammatory benign mastopathy, relatively rare. �We illustrate through this work the typical appearance on imaging of a case of plasma cell mastitis.

Observation: �A 6 O-year-old woman without medical history, was addressed to the radiology service of the National Institute of Oncology in Rabat for screening mammography. �Mammography were performed. and breast ultrasound

Results : �Mammography thick sugar. found bilateral diffuse and calcifications, tapered in barley �Ultrasound demonstrates bilateral dilatation of galactophorous ducts allowing to confirm the diagnosis of plasma cell mastitis.

Mammogram shows diffuse and thick calcifications tapered in barley sugar.

Discussion : �The plasma cell mastitis is seen mainly in women over 40 years, characterized by dilated lactiferous ducts with periductal inflammation and fibrosis. �Its etiology remains unknown, although several theories autoimmune traumatic iatrogenic or infectious are discussed.

Discussion : �At the beginning stage it may be asymptomatic or cause multiple duct discharge often bilateral, thick whitish or greenish, spontaneous or induced. �Nipple retraction may be subsequently. �Retroareolar mass simulating cancer is sometimes observed. (biopsy is necessary in this case).

Discussion : �Mammography: Ø is typical with the presence of calcifications in regular sticks or thick tapered in “barley sugar” distributed throughout the gland.

Discussion : �Ultrasound: Ø Retroareolar Ø Sometimes duct dilatation. ill-defined retroareolar mass.

Discussion: �Treatment of plasma cell mastitis is useless. Where there are clinical signs (inflammation, infection, fistula): antiinflammatory and or antibiotherapy. �Recurrence is common and can lead to damage to cosmetic breast.

Conclusion: �When appearance is typical radiological diagnosis of plasma mastitis is easy. �In the cell the clinical and radiological atypical forms, the differential diagnosis with carcinomatous mastitis is eliminated by histology.

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