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Breast
Special Topics
Breast Manifestations of Systemic Conditions
Collagen Vascular Disease
Collagen Vascular Disease
Wendie A. Berg, MD, PhD, FACR, FSBI; Ray Cody Mayo, MD; Wei Tse Yang, MBBS
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Autoimmune disorders with common features including production of autoantibodies, abnormalities of cell-mediated immunity, and inflammation of connective tissues
              • Includes polymyositis/dermatomyositis, rheumatoid arthritis (RA), psoriatic arthritis, systemic lupus erythematosus (SLE), systemic sclerosis (scleroderma), giant cell arteritis (GCA), Sjögren syndrome, mixed connective tissue disorder

            IMAGING

            • General Features

              • Mammographic Findings

                • Ultrasonographic Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Treatment

                                  Selected References

                                  1. Giaj-Levra N et al: Radiotherapy in patients with connective tissue diseases. Lancet Oncol. 17(3):e109-17, 2016
                                  2. Zaremba NM et al: The dilemma of breast cancer treatment and existing collagen vascular disease: A case of scleroderma and review of the literature. Breast J. 22(4):451-455, 2016
                                  3. Tashtoush B et al: Follicular bronchiolitis: A Literature Review. J Clin Diagn Res. 9(9):OE01-5, 2015
                                  4. Fallah M et al: Autoimmune diseases associated with non-Hodgkin lymphoma: a nationwide cohort study. Ann Oncol. 25(10):2025-30, 2014
                                  5. Cao MM et al: Mammographic signs of systemic disease. Radiographics. 31(4):1085-100, 2011
                                  6. Kadotani Y et al: Giant cell arteritis of the breast: a case report with a review of literatures. Breast Cancer. 17(3):225-32, 2010
                                  7. Herman M et al: Reactive breast and axillary lesions in systemic lupus erythematosus. JBR-BTR. 92(3):154-5, 2009
                                  8. Wani AM et al: Lupus mastitis - peculiar radiological and pathological features. Indian J Radiol Imaging. 19(2):170-2, 2009
                                  9. Landgren O et al: Autoimmunity and susceptibility to Hodgkin lymphoma: a population-based case-control study in Scandinavia. J Natl Cancer Inst. 98(18):1321-30, 2006
                                  10. Sabaté JM et al: Lupus panniculitis involving the breast. Eur Radiol. 16(1):53-6, 2006
                                  11. Lipworth L et al: Silicone breast implants and connective tissue disease: an updated review of the epidemiologic evidence. Ann Plast Surg. 52(6):598-601, 2004
                                  12. von Lilienfeld-Toal M et al: An unusual presentation of a common disease. Ann Rheum Dis. 63(7):887-8, 2004
                                  13. Operé E et al: Localized scleroderma of the breast. Eur Radiol. 12(6):1483-5, 2002
                                  14. Chen AM et al: Breast-conserving therapy in the setting of collagen vascular disease. Cancer J. 7(6):480-91, 2001
                                  15. Hill CL et al: Frequency of specific cancer types in dermatomyositis and polymyositis: a population-based study. Lancet. 357(9250):96-100, 2001
                                  16. Feder JM et al: Unusual breast lesions: radiologic-pathologic correlation. Radiographics. 19 Spec No:S11-26; quiz S260, 1999
                                  17. Murray ME et al: The clinical importance of axillary lymphadenopathy detected on screening mammography. Clin Radiol. 52(6):458-61, 1997
                                  18. Walsh R et al: Axillary lymph nodes: mammographic, pathologic, and clinical correlation. AJR Am J Roentgenol. 168(1):33-8, 1997
                                  19. Bruwer A et al: Punctate intranodal gold deposits simulating microcalcifications on mammograms. Radiology. 163(1):87-8, 1987
                                  20. Breast Cancer Patients With Collagen Vascular Disease May Be Undertreated With Radiation Despite Low Rates of Toxicity
                                  21. Radiation Toxicity in Patients With Collagen Vascular Disease: A Meta-Analysis of Matched Pair Cohort Series
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Definitions

                                              • Autoimmune disorders with common features including production of autoantibodies, abnormalities of cell-mediated immunity, and inflammation of connective tissues
                                              • Includes polymyositis/dermatomyositis, rheumatoid arthritis (RA), psoriatic arthritis, systemic lupus erythematosus (SLE), systemic sclerosis (scleroderma), giant cell arteritis (GCA), Sjögren syndrome, mixed connective tissue disorder

                                            IMAGING

                                            • General Features

                                              • Mammographic Findings

                                                • Ultrasonographic Findings

                                                  • Nuclear Medicine Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Treatment

                                                                  Selected References

                                                                  1. Giaj-Levra N et al: Radiotherapy in patients with connective tissue diseases. Lancet Oncol. 17(3):e109-17, 2016
                                                                  2. Zaremba NM et al: The dilemma of breast cancer treatment and existing collagen vascular disease: A case of scleroderma and review of the literature. Breast J. 22(4):451-455, 2016
                                                                  3. Tashtoush B et al: Follicular bronchiolitis: A Literature Review. J Clin Diagn Res. 9(9):OE01-5, 2015
                                                                  4. Fallah M et al: Autoimmune diseases associated with non-Hodgkin lymphoma: a nationwide cohort study. Ann Oncol. 25(10):2025-30, 2014
                                                                  5. Cao MM et al: Mammographic signs of systemic disease. Radiographics. 31(4):1085-100, 2011
                                                                  6. Kadotani Y et al: Giant cell arteritis of the breast: a case report with a review of literatures. Breast Cancer. 17(3):225-32, 2010
                                                                  7. Herman M et al: Reactive breast and axillary lesions in systemic lupus erythematosus. JBR-BTR. 92(3):154-5, 2009
                                                                  8. Wani AM et al: Lupus mastitis - peculiar radiological and pathological features. Indian J Radiol Imaging. 19(2):170-2, 2009
                                                                  9. Landgren O et al: Autoimmunity and susceptibility to Hodgkin lymphoma: a population-based case-control study in Scandinavia. J Natl Cancer Inst. 98(18):1321-30, 2006
                                                                  10. Sabaté JM et al: Lupus panniculitis involving the breast. Eur Radiol. 16(1):53-6, 2006
                                                                  11. Lipworth L et al: Silicone breast implants and connective tissue disease: an updated review of the epidemiologic evidence. Ann Plast Surg. 52(6):598-601, 2004
                                                                  12. von Lilienfeld-Toal M et al: An unusual presentation of a common disease. Ann Rheum Dis. 63(7):887-8, 2004
                                                                  13. Operé E et al: Localized scleroderma of the breast. Eur Radiol. 12(6):1483-5, 2002
                                                                  14. Chen AM et al: Breast-conserving therapy in the setting of collagen vascular disease. Cancer J. 7(6):480-91, 2001
                                                                  15. Hill CL et al: Frequency of specific cancer types in dermatomyositis and polymyositis: a population-based study. Lancet. 357(9250):96-100, 2001
                                                                  16. Feder JM et al: Unusual breast lesions: radiologic-pathologic correlation. Radiographics. 19 Spec No:S11-26; quiz S260, 1999
                                                                  17. Murray ME et al: The clinical importance of axillary lymphadenopathy detected on screening mammography. Clin Radiol. 52(6):458-61, 1997
                                                                  18. Walsh R et al: Axillary lymph nodes: mammographic, pathologic, and clinical correlation. AJR Am J Roentgenol. 168(1):33-8, 1997
                                                                  19. Bruwer A et al: Punctate intranodal gold deposits simulating microcalcifications on mammograms. Radiology. 163(1):87-8, 1987
                                                                  20. Breast Cancer Patients With Collagen Vascular Disease May Be Undertreated With Radiation Despite Low Rates of Toxicity
                                                                  21. Radiation Toxicity in Patients With Collagen Vascular Disease: A Meta-Analysis of Matched Pair Cohort Series