| 摘要: |
| 目的 探讨乳腺炎性病变的超声造影增强表现并分析其误诊原因。方法 回顾性分析已证实的43个乳腺炎性病灶，定性分析其超声造影增强表现及其符合的造影预测模型，并对其误诊原因进行分析。结果 乳腺炎性病变符合乳腺造影恶性预测模型，主要表现为快进、非向心性、不均匀性高增强，增强后病灶变大等恶性病变的特点，与乳腺癌极为相似，其中以化脓性乳腺炎、浆细胞性乳腺炎及肉芽肿性乳腺炎等病理类型多见。结论 乳腺炎性病变病理特征复杂多变，超声造影后仍易误诊为乳腺癌，需结合临床症状及多种影像学诊断技术综合判断，最终确诊需依靠病理诊断结果。 |
| 关键词: 化脓性乳腺炎 浆细胞性乳腺炎 肉芽肿性乳腺炎 超声造影预测模型 |
| DOI： |
| 投稿时间：2017-10-27修订日期：2017-11-17 |
| 基金项目: |
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| Contrast-enhanced ultrasound features and misdiagnosis analysis of mastitis lesions |
| yue ting,chen qin |
| (School of Medicine,University of Electronic Science and Technology of China;Sichuan Provincial People''s Hospita) |
| Abstract: |
| Objective To investigate the contrast-enhanced ultrasound features of mastitis lesions and analyze the causes of misdiagnosis. Methods A retrospective analysis of 43 mastitis lesions confirmed, qualitatively analyze the contrast-enhanced ultrasound features of mastitis lesions and its consistent imaging predictive model, and analyze the causes of its misdiagnosis. Result Mastitis lesions in line with malignant predictive model, mainly for fast forward, non-centripic, non-uniformity, high enhancement, and enhanced lesions expanded, and so on. Breast cancer is very similar to the malignant lesions, which is more common in suppurative mastitis, plasma cell mastitis and granulomatous mastitis. Conclusion Because of the complex and pathological changes of breast inflammatory lesions, it is easy to misdiagnosed as breast cancer after contrast-enhanced ultrasound, so it needs to be combined with clinical symptoms and various diagnostic methods to diagnosed. The final diagnosis still depends on the pathological diagnosis. |
| Key words: Suppurative mastitis Plasma cell mastitis Granulomatous mastitis Contrast-enhanced ultrasound Predictive model |
