Ultrasonic Classifications,Clinical Manifestations and Pathological Characteristics of Cystic Neutrophilic Granulomatous Mastitis
10.3969/j.issn.1005-5185.2024.12.009
- VernacularTitle:囊性中性粒细胞性肉芽肿性乳腺炎超声分型、临床及病理特征
- Author:
Xiaona LIU
1
;
Yubo GUO
;
Yating WANG
;
Kaiyun CHU
;
Zhiyong GUO
;
Xuemei LIU
Author Information
1. 首都医科大学附属北京中医医院超声科,北京 100010
- Publication Type:Journal Article
- Keywords:
Cystic neutrophilic granulomatous mastitis;
Breast;
Ultrasonography;
Classification;
Pathology,surgical;
Female
- From:
Chinese Journal of Medical Imaging
2024;32(12):1243-1247
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To analyze the different ultrasonic classifications,clinical and pathological characteristics of cystic neutrophilic granulomatous mastitis (CNGM). Materials and Methods A retrospective analysis was conducted on the ultrasonic images,clinical manifestations,and pathological characteristics of 155 CNGM lesions in 131 female patients pathologically diagnosed from January 2020 to September 2024 in Beijing Hospital of Traditional Chinese Medicine,Capital Medical University. Results According to the ultrasonic classification of 155 lesions,there were 48 ductal lesions,48 solid mass lesions,28 diffuse lesions and 31 abscess lesions. Based on the clinical course staging,there were 108 lesions in the acute stage,31 in the subacute stage and 16 in the prolonged stage. According to the lesion scope classification,there were 109 localized lesions and 46 diffuse lesions. Gram staining was negative in 95 lesions and positive in 60 lesions (38.71％). Among the positive lesions,there were 11 positive bacilli,23 negative bacilli and 26 others. There was a statistical correlation between the ultrasonic classification and the lesion scope (x2=14.267,P=0.003). The ductal and mass-type lesions in the ultrasonic classification were mainly localized,while the ratio of diffuse lesion scope increased in the diffuse and abscess types. Among the 60 Gram-positive cases,the ductal type had the highest proportion in the ultrasonic classification (20),followed by the mass-type (17). Conclusion The ductal and mass type in the ultrasonic classification of CNGM lesions are more common in the clinical acute stage,which is closely related to the lesion scope. The Gram staining positivity rate of CNGM is 38.71％,and the bacterial infection rate and detection rate are relatively high in the acute stage. Ultrasonic classification provide an important reference for the judgment of CNGM staging and lesion range.
