[特发性肉芽肿性乳腺炎与乳腺癌：弹性成像有何差异？]
[Idiopathic granulomatous mastitis and breast carcinoma: What difference on elastography?].
作者信息
Aoudia L, Bendib S E
机构信息
Service de radiologie et d'imagerie médicale, Centre Pierre et Marie Curie, Alger, Algérie.
Service de radiologie et d'imagerie médicale, Centre Pierre et Marie Curie, Alger, Algérie.
出版信息
Gynecol Obstet Fertil Senol. 2022 Nov;50(11):729-734. doi: 10.1016/j.gofs.2022.08.006. Epub 2022 Sep 9.
OBJECTIVES
To determine the elastographic characteristics of idiopathic granulomatous mastitis compared to breast carcinoma.
MATERIALS AND METHODS
Retrospective study of 63 breast masses. Ultrasound B mode and strain elastography were performed for each mass. Qualitative criteria (strain score) and semi-quantitative criteria (strain and length ratio) of strain elastography were studied. The pathological findings were used as the reference standard.
RESULTS
Sixty-three breast masses, there were 15 idiopathic granulomatous mastitis and 48 breast carcinomas. The mean strain ratio of idiopathic granulomatous mastitis was significantly lower than that of breast carcinoma, respectively 3.34±2.50 and 21.22±20.57 (P<0.0001). However, there was no significant difference between the mean length ratio of idiopathic granulomatous mastitis and breast carcinoma, respectively 1.17±0.18 and 1.22±0.23 (P=0.381).
CONCLUSION
Breast elastography helps to differentiate idiopathic granulomatous mastitis from breast carcinoma.
目的
确定特发性肉芽肿性乳腺炎与乳腺癌相比的弹性成像特征。
材料与方法
对63个乳腺肿块进行回顾性研究。对每个肿块进行超声B超和应变弹性成像检查。研究了应变弹性成像的定性标准（应变评分）和半定量标准（应变与长度比）。病理结果用作参考标准。
结果
63个乳腺肿块中，有15个特发性肉芽肿性乳腺炎和48个乳腺癌。特发性肉芽肿性乳腺炎的平均应变比显著低于乳腺癌，分别为3.34±2.50和21.22±20.57（P<0.0001）。然而，特发性肉芽肿性乳腺炎与乳腺癌的平均长度比之间无显著差异，分别为1.17±0.18和1.22±0.23（P=0.381）。
结论
乳腺弹性成像有助于鉴别特发性肉芽肿性乳腺炎与乳腺癌。
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