NECROTIZING GRANULOMATOSIS OF THE BREAST

We describe a case of necrotizing granulomatosis of Wegener's type inv olving the breasts of a 40-year-old man. There were no signs of genera lized disease. Involvement of the breast is rare in Wegener's granulom atosis (WG). To date, 17 cases have been reported, and all were women. They predominantly presented with a unilateral breast mass, and mamma ry malignancy was the principal concern. In the majority of cases, bre ast lesions of WG have been a presenting sign of, or preceded, dissemi nated disease. Our patient is unusual in that the necrotizing granulom as developed as an isolated finding in a site remote from those usuall y affected by WG, and, as far as we are aware, represents the first ca se of Wegener's type granulomatosis involving the male breast.