特发性肉芽肿性乳腺炎磁共振误诊1例分析并文献回顾

Misdiagnosis of MR in one case with idiopathic granulomatous mastitis and review of literature

目的提高对特发性肉芽肿性乳腺炎(IGM)临床以及磁共振表现的认识,避免对该病的误诊。方法报告我院1例术前磁共振误诊的特发性肉芽肿性乳腺炎的临床表现、辅助检查结果及超声、磁共振表现,并结合文献进行复习,分析误诊原因。结果入院后对患者进行血常规、超声、磁共振等检查后,行乳腺病灶区段切除术,术后恢复良好。结论特发性肉芽肿性乳腺炎术前磁共振诊断较难,但其磁共振表现仍有一定特异性,若出现相应征象,应考虑到该病可能,将有助于患者的治疗。

Objective To improve the knowlege about the clinical features and magnetic resonance imaging findings of idiopathic granulomatous mastitis and avoid misdiagnosis..Methods The clinical data,laboratory results,ultrasound and magnetic resonance imaging findings were reported in one case with idiopathic granulomatous mastitis which was misdiagnosed by magnetic resonance and the relative literatures were reviewed.Results The patient underwent segmental excision after blood roatine test,.ultrasound and magnetic resonance and recovered well after surgery.Conclusion pre-operation diagnosis of idiopathic granulomatous mastitis with magnetic resonance is difficult,but it has a definate specific feature in MR finding..If there are correlated sign appearance,the diagnosis of this disease should be considered and it would contribute to provide a therapeutic project for patients.