肉芽肿性乳腺炎与非特殊型浸润性乳腺癌的超声特征差异及其病理表现的相关性分析  

Analysis of the Ultrasonic Characteristics Differences and Their Correlation with Pat hological Manifestations Between Granulomatous Mastitis and Non-Special Type Invasive Breast Cancer

作　　者：王铮[1] 刘小东 刘方圆 李天天 栗粟 王自闯[3] Wang Zheng;Liu Xiaodong;Liu Fangyuan;Li Tiantian;Li Su;Wang Zichuang(Department of Ultrasound,Henan Province Traditional Chinese Medicine Hospital,Zhengzhou 450002,China;Department of Thyroid&Breast,Henan Province Traditional Chinese Medicine Hospital,Zhengzhou 450002,China;Department of Pathology,Henan Province Traditional Chinese Medicine Hospital,Zhengzhou 450002,China)

机构地区：[1]河南省中医院超声科,郑州市450002 [2]河南省中医院甲状腺乳腺病科,郑州市450002 [3]河南省中医院病理科,郑州市450002

出　　处：《中国超声医学杂志》2024年第8期866-869,共4页Chinese Journal of Ultrasound in Medicine

基　　金：河南省中医药科学研究专项课题(No.2022ZY1080)。

摘　　要：目的分析肉芽肿性乳腺炎(GM)与非特殊型浸润性乳腺癌(IBC-NST)的超声特征差异,及其与病理表现的相关性,为两者的鉴别提供依据。方法选取经病理证实的161例(164个病灶)GM和294例(295个病灶)IBC-NST患者的临床、超声及病理资料,分析其超声特征与病理表现的相关性。结果GM和IBC-NST在病灶回声模式(低回声、囊实混合回声)、纵横比、边缘、高回声晕、延伸方式、后方回声、周边导管、钙化、血流方面比较差异有统计学意义(P<0.01),在病灶形态、病灶回声模式(无回声)方面比较差异无统计学意义(P>0.01)。GM及IBC-NST两组部分超声特征及病理表现相关性显示,二者基本一致,多数比较差异无统计学意义(P>0.01)。结论GM与IBC-NST的超声特征差异有助于二者的鉴别诊断,且二者的超声特征与病理表现多有相关性。Objective To analyze the differences in ultrasound features between granulomatous mastitis(GM)and invasive breast carcinoma of no special type(IBC-NST),and their correlation with pathological findings,providing a basis for their differentiation.Methods The clinical,ultrasound and pathological data of 161 cases(164 lesions)of GM and 294 cases(295 lesions)of IBC-NST confirmed by pathology were selected to analyze the correlation between their ultrasound characteristics and pathological manifestations.Results There were statistically significant differences between GM and IBC-NST in terms of lesion echo pattern(hypoechoic,cyst-solid mixed echo),aspect ratio,edge,hyperechoic halo,extension pattern,posterior echo,peripheral duct,calcification,and blood flow(P<O.01),there was no statistically significant difference in lesion morphology and lesion echo pattern(no echo)(P>O.O01).The correlation of some ultrasound features and pathological manifestations between the two groups of GM and IBC-NST showed that they were basically consistent,and most of the differences were not statistically significant(P>0.O1).Conclusions The differences in ultrasound features between GM and IBC-NST are helpful for their differential diagnosis,and the ultrasound features of both are often correlated with pathological manifestations.

关 键 词：病理学 超声检查 乳腺炎 肉芽肿 浸润性乳腺癌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]