非特异性肉芽肿性乳腺炎的超声及X线表现  

Mammographic and sonographic appearances of idiopathic granulomatous mastitis

作　　者：张伟[1] 高玉颖[1] 刘鑫[1] 张军[1] 陈培青[1] 郭启勇[1] 

机构地区：[1]中国医科大学第二医院放射科,辽宁沈阳110004

出　　处：《中国临床医学影像杂志》2006年第4期208-210,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:回顾性分析非特异性肉芽肿性乳腺炎的X线乳腺摄影和超声表现,为这种少见的病因不明的疾病提供诊断线索。方法:15例手术病理证实的非特异性肉芽肿性乳腺炎全部经过超声检查,10例经过乳腺X线摄影检查,结合临床及病理资料,对比分析非特异性肉芽肿性乳腺炎的影像特点。结果:11例超声结果显示较周围正常腺体不同的大片不均匀低回声,其中6例病变内出现1～3cm管状更低回声区。9例X线摄影显示异常,其中限局性不对称密度6例,2例显示形态不规则、边缘模糊肿块,另1例弥漫肿胀,几乎累及整个乳房。两种方法显示6例腋下淋巴结增大,均为炎性增生。结论:在乳腺X线摄影中表现为局限性不对称密度、超声中不均匀低回声区域内出现管状结构更低回声,在除外恶性条件下,提示有非特异性肉芽肿性乳腺炎的可能,最后的诊断主要依靠手术后病理结果。Objective： The mammographic and sonographic findings of idiopathic granulomatous mastitis were studied retrospectively, hope to find the diagnostic criteria of this rare inflammatory disease of the breast with unknown etiology. Materials and Methods： Sonography was performed in all cases, 10 of which had mammographic study simultaneously, and were correlative with surgical and pathologic confirmation, the image characteristics of idiopathic granulomatous mastitis were analized. Result： Eleven of which showed a focal area with inhomogeneous and hypoechoic pattern, 6 of them had internal tubular hypoechoic structures. Nine cases revealed abnormal findings among 10 mammographic images, 6 of which appeared as focal asymmetric density. Two revealed a mass with irregular margins. The other one reflected a large opacity involving nearly the entire breast. There were 6 cases with inflammatory hyperplasia of axillary lymph node fonud by mammography as well as sonography simultaneously. Conclusion： A focal asymmetric density in mammography and internal tubular hypoechoic structures in a focal area with inhomogeneous and hypoechoic pattern in sonography may he a significant sign of idiopathic granulomatous mastitis.

关 键 词：乳腺炎 超声检查 放射摄影术 

分 类 号：R655.8[医药卫生—外科学] R445.1[医药卫生—临床医学]