Comparison of ultrasonographic features in the granulomatous lobular mastitis and infiltrating lobular carcinoma of the breast

LIU Yanchao; XIAO Mengsu; LYU Ke; WU Qianlan; LIU Guokun

doi:10.19732/j.cnki.2096-6210.2022.03.005

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Comparison of ultrasonographic features in the granulomatous lobular mastitis and infiltrating lobular carcinoma of the breast

更新时间：2025-12-15

- Comparison of ultrasonographic features in the granulomatous lobular mastitis and infiltrating lobular carcinoma of the breast
- Vol. 31, Issue 3, Pages: 243-248(2022)
- 作者机构：
  
  1. 中国医学科学院北京协和医学院，北京协和医院超声科,北京,100730
  2. 邯郸市中心医院超声医学科,河北,邯郸,056000
  3. 邯郸市第一人民医院病理科,河北,邯郸,056000
  4. 邯郸市中心医院 CT/MRI 室,河北,邯郸,056000
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2022.03.005
  CLC：
- Published Online：28 June 2022，
  
  Published：28 June 2022
- 稿件说明：
移动端阅览
刘艳超,孝梦甦,吕珂,等. 肉芽肿性小叶性乳腺炎与乳腺浸润性小叶癌超声声像图特征对比研究[J]. 肿瘤影像学, 2022, 31(3): 243-248 https://doi.

org/10.19732/j.cnki.2096-6210.2022.03.005
刘艳超,孝梦甦,吕珂,等. 肉芽肿性小叶性乳腺炎与乳腺浸润性小叶癌超声声像图特征对比研究[J]. 肿瘤影像学, 2022, 31(3): 243-248 https://doi. DOI： 10.19732/j.cnki.2096-6210.2022.03.005.

org/10.19732/j.cnki.2096-6210.2022.03.005 DOI：

摘要

目的：

总结并对比肉芽肿性小叶性乳腺炎（granulomatous lobular mastitis，GLM）与乳腺浸润性小叶癌（infiltrating lobular carcinoma of the breast，ILC）的超声声像图特征，以期提高对两者的鉴别诊断。

方法：

回顾并分析北京协和医院28个GLM病灶及58个ILC病灶超声图像，对比分析两组患者的临床资料及超声声像图表现，包括病灶形态、纵横比、边界、周边晕环、内部导管扩张、液化区、钙化等。

结果：

两组病灶在发病年龄、红肿热痛等临床表现，以及超声显示的形态、内部导管扩张、液化区及钙化等方面差异均有统计学意义（

＜0.05）。

结论：

GLM相较于ILC病灶内更易出现液化区、导管扩张、血流丰富等表现，综合分析超声与临床表现有助于提高对两者的鉴别诊断。

Abstract

Objective:

To summarize and compare the ultrasonographic features of granulomatous lobular mastitis (GLM) and infiltrating lobular carcinoma of the breast (ILC) for improving the differential diagnosis of them.

Methods:

The ultrasound images of 28 GLM lesions and 58 ILC lesions in Peking Union Medical College Hospital were retrospectively analyzed. The clinical data and ultrasound images of the lesions were compared and analyzed between the two groups

including morphology

aspect ratio

boundary

halo

ductal dilatation

fluid area

calcification.

Results:

There w

ere significant differences between the two groups in clinical manifestations (age of onset

redness

swelling

heat and pain

etc.) and ultrasonographic features (morphology

internal catheter expansion

liquefaction area and calcification) (

＜0.05).

Conclusion:

Compared with ILC

GLM is more likely to appear with liquid area

duct dilatation

rich blood flow. Comprehensive analysis of ultrasound imaging and clinical manifestations helps to improve the differential diagnosis of them.

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