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Localized scleroderma of the breast.

Elisa Operé1, Laura Oleaga, Teresa Ibáñez

  • 1Department of Radiology, Hospital de Basurto, Avenida de Montevideo 18, 48013 Bilbao, Spain.

European Radiology
|June 4, 2002
PubMed
Summary

Morphea, a type of localized scleroderma, can affect the breast. Imaging and biopsy confirmed morphea in a 44-year-old woman, showing characteristic skin and tissue changes.

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Area of Science:

  • Dermatology
  • Radiology
  • Pathology

Background:

  • Morphea is a rare fibrosing condition of the skin and subcutaneous tissue.
  • Breast involvement by morphea is uncommon, presenting diagnostic challenges.

Observation:

  • A 44-year-old female presented with right breast morphea.
  • Clinical assessment involved mammography, magnetic resonance imaging (MRI), and needle biopsy.

Findings:

  • Mammography revealed skin and subcutaneous tissue thickening.
  • MRI demonstrated replacement of adipose tissue with low-signal, non-enhancing tissue.
  • Skin biopsy confirmed the histological diagnosis of scleroderma.

Implications:

  • This case highlights the importance of considering morphea in breast imaging differentials.
  • Multimodality imaging and biopsy are crucial for accurate diagnosis of breast morphea.
  • Understanding imaging features aids in differentiating morphea from other breast pathologies.

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