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超声征象对非肿块型乳腺癌与肉芽肿性小叶性乳腺炎的鉴别诊断价值
林韵,常建东,许梅娜,周瑞娟,陈瑞福,林云
北京中医药大学厦门医院超声医学科,厦门 361000;北京中医药大学厦门医院胸外乳腺科,厦门 361000;北京中医药大学厦门医院病理科厦门 361000
摘要:
目的:研究超声征象在非肿块型乳腺癌(NMBC)与肉芽肿性小叶性乳腺炎(GLM)鉴别诊断中的价值。方法:回顾性分析2021 年1 月—2021 年12 月于北京中医药大学厦门医院胸外乳腺科就诊、经穿刺或术后病理证实的29 个NMBC 和37 个GLM 病灶的超声征象,包括生长方式、边缘情况、是否有微小钙化、周围组织情况、血流情况、腋窝淋巴结是否肿大等。结果:NMBC 和GLM 病灶的非平行、成角、毛刺、微小钙化、周围组织回声增强、窦道、腋窝淋巴结肿大、丰富血流、穿支血流及阻力指数大于0.7 的比例差异有统计学意义(P <0.05)。结论:超声征象可为NMBC 和GLM 的鉴别诊断及治疗提供有价值的信息。
关键词:  非肿块型乳腺癌  肉芽肿性小叶性乳腺炎  超声征象
DOI:10.3969/j.issn.1007-6948.2022.06.009
投稿时间:2022-02-05
基金项目:福建中医药大学校管课题(XB2021109);厦门市科技计划项目(3502Z20194047)
Value of Ultrasound Characterization in Differential Diagnosis of Non-mass Breast Cancer and Granulomatous Lobular Mastitis
LIN Yun,CHANG Jian-dong,XU Mei-na
Abstract:
Objective To study the value of ultrasound characterization in the differential diagnosis of nonmass breast cancer (NMBC) and granulomatous lobular mastitis (GLM). Methods Ultrasound characterization of 29 NMBC and 37 GLM patients confirmed by surgery or postpuncture pathology, including growth pattern,marginal condition, minimal calcifications, peripheral tissue, blood flow and enlarged axillary lymph nodes were retrospectively analyzed. Results There were statistically significant differences in nonparallel, angulation, burr, micro-calcification, enhanced echo of surrounding tissues, sinus tract, axillary lymph node enlargement;abundant blood flow; perforator blood flow and the resistance index is greater than 0.7 between non-mass breast cancer group and granulomatous lobular mastitis group (P <0.05). Conclusion Ultrasound characterization can provide valuable information for differential diagnosis and treatment of non-mass breast cancer and granulomatous lobular mastitis .
Key words:  Non-mass breast cancer  granulomatous lobular mastitis  ultrasound characterization

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