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.