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特发性肉芽肿性乳腺炎的临床和影像特征——诊断难点及简要综述。

Clinical and imaging features of idiopathic granulomatous mastitis - The diagnostic challenges and a brief review.

机构信息

Department of Radiology, Icahn School of Medicine at Mount Sinai West, New York, NY, USA.

Department of Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.

出版信息

Clin Imaging. 2021 Jan;69:126-132. doi: 10.1016/j.clinimag.2020.06.022. Epub 2020 Jun 15.

Abstract

Idiopathic granulomatous mastitis (IGM), or granulomatous lobular mastitis is a rare, benign, inflammatory condition of the breast, without an identifiable underlying etiology. The clinical and imaging diagnosis of this entity is challenging with the presentation frequently mimicking inflammatory breast carcinoma (IBC). Mammography and breast ultrasound (US) have an important role in its detection, however, biopsy is imperative for histopathological confirmation. We present three cases of biopsy proven IGM, highlighting the variability of the clinical and imaging features,brieflyreview the relevant literature and discuss the challenges associated with its diagnosis and management.

摘要

特发性肉芽肿性乳腺炎(IGM),又称肉芽肿性小叶性乳腺炎,是一种罕见的、良性的、乳腺炎症性疾病,其病因尚不清楚。该疾病的临床和影像学诊断具有挑战性,其表现常类似于炎症性乳腺癌(IBC)。乳房 X 线摄影和乳房超声(US)在其检测中具有重要作用,然而,活检对于组织病理学确认是必要的。我们报告了 3 例经活检证实的 IGM,重点介绍了其临床表现和影像学特征的可变性,简要回顾了相关文献,并讨论了其诊断和管理所面临的挑战。

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