特发性肉芽肿性乳腺炎患者治疗后影像学表现与复发的关系。
Relationship of post-treatment radiological findings with relapses in idiopathic granulomatous mastitis patients.
作者信息
Rona Gunay, Arifoglu Meral, Cetin Kenan, Kundes Muhammet Fikri
机构信息
Department of Radiology, University of Health Sciences, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkiye.
Department of General Surgery, Canakkale Onsekiz Mart University Faculty of Medicine, Canakkale, Turkiye.
出版信息
North Clin Istanb. 2024 Sep 30;11(5):391-397. doi: 10.14744/nci.2023.32309. eCollection 2024.
OBJECTIVE
The aim of this study is to investigate the relationship between post-treatment radiological findings and recurrences in idiopathic granulomatous mastitis (IGM).
METHODS
Clinical data, ultrasound (US) and magnetic resonance imaging (MRI) examinations of 160 patients with IGM (mean age 34.6±7 years; range 20-56 years) who received only steroid or steroid+surgical treatment were evaluated retrospectively. Patients were grouped as radiological complete response (RCR) or radiological incomplete response (RIR).
RESULTS
Only in the steroid group, 79 (54.1%) patients were in the RCR group and 67 (45.9%) patients were in the RIR group. Recurrence occurred in 42 (26.3%) patients, 27 (16.9%) in the same breast and 15 (9.4%) in the contralateral breast. Most of the recurrences in the same breast had residual lesions up to recurrence (74.1%).
CONCLUSION
Residual lesion after treatment is a risk factor for recurrence, and treatment can significantly reduce recurrences until the lesions disappear. The lesion size on MRI after treatment is not associated with recurrence.
目的
本研究旨在探讨特发性肉芽肿性乳腺炎（IGM）治疗后影像学表现与复发之间的关系。
方法
回顾性评估160例仅接受类固醇或类固醇+手术治疗的IGM患者（平均年龄34.6±7岁；范围20 - 56岁）的临床资料、超声（US）和磁共振成像（MRI）检查结果。患者分为放射学完全缓解（RCR）组或放射学不完全缓解（RIR）组。
结果
仅在类固醇治疗组中，79例（54.1%）患者属于RCR组，67例（45.9%）患者属于RIR组。42例（26.3%）患者出现复发，同侧乳房复发27例（16.9%），对侧乳房复发15例（9.4%）。同侧乳房的大多数复发在复发前都有残留病变（74.1%）。
结论
治疗后残留病变是复发的危险因素，在病变消失前治疗可显著降低复发率。治疗后MRI上的病变大小与复发无关。
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