Granulomatous lobular mastitis ultrasonographic findings and clinical pathologic features analysis

CHEN Wei; NIU Jianmei; CAO Yunyun; WANG Haifei; GONG Xiaoping

doi:10.19732/j.cnki.2096-6210.2021.02.004

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Granulomatous lobular mastitis ultrasonographic findings and clinical pathologic features analysis

更新时间：2025-12-15

- Granulomatous lobular mastitis ultrasonographic findings and clinical pathologic features analysis
- Vol. 30, Issue 2, Pages: 82-85(2021)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2021.02.004
  CLC：
- Published Online：28 April 2021，
  
  Published：28 April 2021
- 稿件说明：
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陈薇,牛建梅,曹云云,等. 肉芽肿性小叶性乳腺炎超声表现与临床病理学特征分析[J]. 肿瘤影像学, 2021, 30(2): 82-85 https://doi.

org/10.19732/j.cnki.2096-6210.2021.02.004
陈薇,牛建梅,曹云云,等. 肉芽肿性小叶性乳腺炎超声表现与临床病理学特征分析[J]. 肿瘤影像学, 2021, 30(2): 82-85 https://doi. DOI： 10.19732/j.cnki.2096-6210.2021.02.004.

org/10.19732/j.cnki.2096-6210.2021.02.004 DOI：

摘要

目的：

分析59例肉芽肿性小叶性乳腺炎（granulomatous lobular mastitis，GLM）多普勒超声图像特征及相关临床特点，以提高对该疾病的认识及诊断水平。

方法：

回顾并分析经病理学检查确诊的GLM患者超声图像，结合临床资料及病理学检查结果进行综合分析。

结果：

患者平均年龄（32.75.5）岁，平均病程（17.814）d，96.6%（57/59）有哺乳史，单侧发病多见［98.3%（58/59）］，外上象限为42.4%（25/59）。93.2%（55/59）的病灶形态不规则；91.5%（54/59）平行生长，其余5例垂直生长；96.6%（57/59）呈不均匀低回声改变；94.9%（56/59）未见明显钙化灶，其余3例见粗钙化；33.9%（20/59）后方回声增强，其余后方回声均无明显改变；Adler分级0~Ⅱ级为76.3%（45/59），其余14例呈Ⅲ级，血流阻力指数为0.600.04。超声肿块检测率为100.0%，但误诊率较高，33.9%（20/59）为可疑恶性，乳腺X线摄影检出率仅为50.8%（30/59）。

结论：

超声是GLM的首选检查手段，详细掌握其超声特征及临床病史有助于提高GLM的诊断及鉴别诊断水平，为临床治疗提供参考依据。

Abstract

Objective:

To analyze the Doppler ultrasonography features of 59 patients with granulomatous lobular mastitis (GLM) and clinical pathologic features for improving the level of clinical cognition and diagnose.

Methods:

Ultrasonographies of GLM patients which confirmed by pathology were retrospectively analyzed

combined with the clinical datas and pathological outcomes.

Results:

The patients were (32.75.5) years old

with an average du

ration of (17.814) d. 96.6% (57/59) patients had a history of lactations. 98.3% (58/59) were more common in unilateral disease

and 42.4% (25/59) were in the outer upper quadrant. 93.2% (55/59) of the lesions were irregular; 91.5% (54/59) grew parallel

5 cases showed vertical growth; 96.6% (57/59) showed hypoechoic; 94.9% (56/59) had no obvious calcification

and 3 cases had coarse calcification; 33.9% (20/59) cases had posterior echo enhancement

and there was no significant change in the remaining. The blood flow grade of Adler was 0-Ⅱ in 76.3% (45/59) cases

Ⅲ in 14 cases

with resistant index was 0.600.04. The mass detection rate of ultrasound was 100.0%

but the rate of misdiagnosis was high

33.9% (20/59) was suspicious malignant; the detection rate of mammography was only 50.8% (30/59).

Conclusion:

Ultrasound is the preferred examination for GLM. A detailed grasp of its ultrasound characteristics and clinical case history can help improve the level of diagnosis and differential diagnosis of GLM

and provid value for clinical treatment.

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