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Zhonghua Yi Xue Za Zhi. 2013 Aug 27;93(32):2581-3.

[Sonographic features and diagnostic analysis of breast granulomatous diseases: a report of 32 cases].

[Article in Chinese]

Author information

  • 1Department of Ultrasound, Sir Run Run Shaw Hospital Institute of Clinical Medicine, Zhejiang University, Hangzhou 310016, China. Email: ljh50078@sina.com.
  • 2Department of Ultrasound, Sir Run Run Shaw Hospital Institute of Clinical Medicine, Zhejiang University, Hangzhou 310016, China.

Abstract

OBJECTIVE:

To evaluate the sonographic features of different pathological types of breast granulomatous diseases and analyze the feasibility of ultrasonic diagnosis.

METHODS:

A total of 32 patients with different pathological types of breast granulomatous diseases were recruited. Their clinical and sonographic findings were retrospectively reviewed. There were granulomatous mastitis (n = 12), breast xanthogranuloma (n = 5), lipogranuloma (n = 2), foreign body granuloma (n = 1) and nonspecific granulation hyperplasia (n = 12).

RESULTS:

Based on major sonographic appearances, they were divided into 4 patterns of tubular, mass, diffuse and cystic mass. In 12 patients with granulomatous mastitis and 12 patients with nonspecific granulation hyperplasia, the major sonographic appearance was of tubular pattern (n = 6, 5), followed by mass pattern (n = 4, 5) and diffuse pattern (n = 2, 2). Five patients with breast xanthogranuloma and 1 patient with foreign body granuloma all showed mass pattern. In 2 patients with lipogranuloma, one was of mass pattern and another cystic pattern. In patients with granulomatous mastitis and patients with nonspecific granulation hyperplasia, it showed a high diagnostic reliability of ultrasound. The ratio of inflammatory lesion as the first sonographic diagnosis was 10/12 and 8/12 respectively and ultrasonic BI-RADS 4b or above both only 1/12. However, the ratio of sonographic imaging in patients with xanthogranuloma and Lipogranuloma mimic breast cancer, in which ultrasonic score as breast imaging-reporting and data system (BI-RADS) 4b or above was 4/5 and 1/1 respectively.

CONCLUSIONS:

Ultrasound is valuable in evaluating the lesions in patients with granulomatous mastitis and nonspecific granulation hyperplasia. However a definite diagnosis is still dependent on histopathology.

PMID:
24351602
[PubMed - indexed for MEDLINE]
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