乳腺结节性筋膜炎的超声图像特征分析  

Analysis of sonographic features of nodular fasciitis of the breast

作　　者：董金叶 郭艳杰 栾艳艳[1] 于艳妮[1] DONG Jinye;GUO Yanjie;LUAN Yanyan;YU Yanni(Department of Ultrasound,Weifang People’sHospital,Weifang 261041,China)

机构地区：[1]山东省潍坊市人民医院超声科,山东潍坊261041

出　　处：《医学影像学杂志》2025年第2期64-67,共4页Journal of Medical Imaging

摘　　要：目的探讨乳腺结节性筋膜炎(BNF)的超声图像特征,旨在加强超声科医师对该病的认识,提高诊断水平。方法选取经手术病理证实的10例BNF患者的临床及超声图像资料,分析评估超声图像特征,包括病灶的位置、大小、形态、边界、内部回声、方位、高回声晕、后方回声、筋膜尾征、钙化灶、血流等。结果10例均为单发病灶,大小为1.2~3.2 cm,平均大小(1.9±0.6)cm。1例位于浅筋膜层,7例位于腺体浅层紧邻浅筋膜,2例位于腺体深层紧邻深筋膜、与胸大肌关系密切。8例边界不清,2例边界清晰;8例形态不规则,2例形态规则;7例内部为不均匀回声,3例为均匀低回声;7例平行位,3例垂直位;5例后方回声增强,6例可见高回声晕,4例可见筋膜尾征,10例均无钙化灶;4例Adler血流为0级,6例为I级。结论BNF声像图无特异性,病灶内部多数呈不均匀回声,边界不清晰,形态不规则,高回声晕,后方回声增强,筋膜尾征,内部血流信号不丰富。对于中青年女性患者乳腺浅筋膜层或腺体浅层近浅筋膜出现快速生长结节并伴以上超声特征之一,应考虑BNF的可能性,但确诊仍需病理学检查结果。Objective To investigate the ultrasonographic features of nodular fascitis of the breast(BNF)so as to improve the diagnostic accuracy.Methods The preoperative clinical data and ultrasonographic features of 10 patients with BNF confirmed by pathology were retrospectively analyzed.The ultrasonographic feature evaluation included the location,size,shape,boundary,internal echo,orientation,hyperechoic halo,posterior echo,fascial tail sign,calcification,and blood flow.Results All nodules were single.The maximum diameter of the nodule ranged from 1.2 to 3.2 cm,with an average of(1.9±0.6)cm.One case was located in the superficial fascia layer,seven cases were located in the superficial side of mammary gland adjacent to the superficial fascia,and two cases were located in the deep side of mammary gland adjacent to the deep fascia,closely related to the pectoralis major muscle.Eight cases had blurred boundary and two cases had clear boundary.Eight cases had irregular morphology and two cases had regular morphology.Seven cases were inhomogeneous hypoechogenicity and three cases were homogeneous.Seven cases grew horizontally and three cases grew perpendicularly.Five cases had enhanced posterior echo.Six cases had hyperechoic halo.Four cases had fascial tail sign.All 10 nodules had no calcification.Adler blood flow was grade 0 in four patients and grade I in six patients.Conclusion The ultrasonographic images of BNF are nonspecific,mostly showing inhomogeneous echo,blurred boundary,irregular shape,hyperechoic halo,enhanced posterior echo,fascial tail sign,and lack of internal blood flow signals.BNF should be considered in young and middle-aged female patients with a rapidly growing nodule in the superficial fascia layer or the superficial side of mammary gland near the superficial fascia with one of the above ultrasound features,but definitive diagnosis still requires histopathological examination results.

关 键 词：超声检查 乳腺结节性筋膜炎 彩色多普勒超声 

分 类 号：R737.9[医药卫生—肿瘤] R445.4[医药卫生—临床医学]