超声联合超声引导下穿刺活检诊断浆细胞性乳腺炎

PLASMA CELL MASTITIS: ULTRASONOGRAPHY AND ULTRASOUND-GUIDED BIOPSY

目的:评估超声联合超声引导下穿刺活检在浆细胞性乳腺炎诊断中的应用价值。方法:我们回顾性分析临床和超声检查发现43例可疑浆细胞性乳腺炎的女性病人,所有病人行灰阶超声检查和超声引导下穿刺活检。结果:病人最常见的症状是乳房肿块和疼痛;超声引导下穿刺活检获得成功,无并发症;43例可疑病例中26例手术病理诊断为浆细胞性乳腺炎,超声检查出21例(80.7%),超声联合超声引导下穿刺检查出25例(96.1%)。超声联合超声引导下穿刺对浆细胞性乳腺炎诊断的敏感度为96.1%,特异度为94.1%。结合声像图分为三种类型:12例为I型肿块型;9例为Ⅱ型脓肿型;5例为Ⅲ型混合型。结论:超声联合超声引导下穿刺活检对诊断浆细胞性乳腺炎及其鉴别诊断有显著的作用。浆细胞性乳腺炎的诊断最终需要组织病理学确认。

Objective： We examined the roles of ultrasonography and ultrasound-guided biopsy in the diagnosis of plasma cell mastitis. Methods： We retrospectively studied the clinical and the sonographic findings in 43 women who suspected plasma cell mastitis. All patients underwent gray-scale sonographic examination and ultrasound-guided biopsy. Results： The most common presenting symptoms were a mass in the breast and pain.Ultrasound-guided biopsy were successful,no significant complications.The findings were plasma cell mastitis in 26 of 43 patients,ultrasound examination of 21 cases（ 80.7%）,Ultrasound combined with ultrasound-guided puncture in 25 cases（ 96.1%）.Ultrasound combined with ultrasound-guided puncture for the diagnosis of plasma cell mastitis sensitivity of 96.1%,specificity of 94.1%. Combined with sonography is divided into three types,12 cases of type I tumor type,9 cases of type Ⅱ abscess type,5 cases of type Ⅲ hybrid type. Conclusion： Neither Ultrasonography nor Ultrasound-guided biopsy plays a significant role in the diagnosis and differential diagnosis of plasma cell mastitis. All cases require histopathologic confirmation for final diagnosis.