特发性肉芽肿性乳腺炎内固醇注射的框架和指南。
Framework and guide for intralesional steroid injections in idiopathic granulomatous mastitis.
机构信息
Department of Surgery, Breast and Melanoma Surgical Oncology, Mayo Clinic, 200 First St SW, Rochester MN, 55905, United States.
Department of Radiology, Breast Imaging and Intervention, Mayo Clinic, 200 First St SW, Rochester MN, 55905, United States. Electronic address: https://twitter.com/MayoRadiology.
出版信息
Eur J Radiol. 2023 Nov;168:111118. doi: 10.1016/j.ejrad.2023.111118. Epub 2023 Sep 29.
PURPOSE
Literature on how to perform intralesional steroid injections, a valuable therapy for idiopathic granulomatous mastitis (IGM), is limited. This technical note offers a detailed technical guide on intralesional steroid injections for IGM and provides a framework for long-term follow-up.
METHODS
Ultrasound characterization of IGM severity considering breadth, depth, and ancillary findings was used to guide steroid dosing and injection frequency. Clinical and sonographic breast diagrams were designed for accurate longitudinal tracking of IGM. A step-by-step guide for ultrasound-guided IGM aspirations and intralesional steroid injections was developed.
RESULTS
A detailed approach for ultrasound-guided IGM interventions with clinical and sonographic breast diagrams for longitudinal follow-up is now in practice.
CONCLUSIONS
The treatment approach described provides a framework for multidisciplinary treatment of IGM and offers insights that may contribute to the ongoing development and improvement of management strategies for this challenging disease.
目的
关于如何进行病灶内类固醇注射的文献有限，而这种治疗方法对于特发性肉芽肿性乳腺炎（IGM）非常有价值。本技术说明提供了关于 IGM 病灶内类固醇注射的详细技术指南，并为长期随访提供了框架。
方法
根据超声对 IGM 严重程度的特征（包括广度、深度和辅助发现）来指导类固醇剂量和注射频率。设计了临床和超声乳房图，以准确地对 IGM 进行纵向跟踪。制定了超声引导下 IGM 抽吸和病灶内类固醇注射的分步指南。
结果
现在已经采用了详细的超声引导 IGM 干预方法，并结合临床和超声乳房图进行纵向随访。
结论
所描述的治疗方法为 IGM 的多学科治疗提供了框架，并提供了一些见解，可能有助于该具有挑战性疾病的管理策略的不断发展和改进。
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