非特异性肉芽肿性乳腺炎的超声影像特征分析

Ultrasonographic features of idiopathic granulomatous mastitis

目的探讨非特异性肉芽肿性乳腺炎(IGM)的超声影像特征。方法回顾性分析23例经病理证实的IGM超声检查结果,分析其二维及彩色多普勒超声表现,并进行超声分型。结果 23例IGM按超声影像特征分为团块型、管样型、弥漫型3型,其中团块型13例,管样型6例,弥漫型4例。CDFI显示血流多分布在病灶周边(16/23),分级以0~1级为主(19/23)。14例伴有同侧腋窝淋巴结肿大。结论 IGM超声影像具有一定特征性表现,仔细观察IGM的超声图像特征,有助于提高超声诊断IGM的准确率。

Objective To explore the sonographic characteristics of idiopathic granulomatous mastitis （IGM）.Methods Retrospective analysis was made of the two-dimensional and color doppler characteristics of 23 cases of IGM confirmed by pathology,and the types were classified according to the features of sonography.Results According to their different ultrasonographic appearances,23 cases of IGM were assigned into 3 types：mass type,tube type and diffuse type,of which there were 13 cases,6 cases,and 4 cases respectively.CDFI showed that the blood flow was mostly located in the margin of the lesion （16/23）,and blood flow grade was mainly from 0 to 1 （19/23）.14 cases were accompanied by ipsilateral axilla lymphadenectasis.Conclusions IGM displayed certain ultrasonic features.A careful observation of the ultrasound image features is of great value to improve the accuracy rate of ultrasound diagnosis of IGM.