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• Clinical Article •
MRI diagnosis of nonspecific granulomatous lobular mastitis
ZHAO Jianxiu  ZHOU Juan  SHENG Fugeng  LI Ming 

Cite this article as: Zhao JX, Zhou J, Sheng FG, et al. MRI diagnosis of nonspecific granulomatous lobular mastitis. Chin J Magn Reson Imaging, 2019, 10(5): 348-351. DOI:10.12015/issn.1674-8034.2019.05.006.


[Abstract] Objective: To explore the imaging features of non-specific granulomatous lobular mastitis (IGM) on MRI and to improve the understanding of the disease.Materials and Methods: Twenty cases of IGM confirmed by pathology were collected. According to the breast imaging reporting and data system (BI-RADS-MRI) of 5th edtion, T2WI, diffusion weighted imaging (DWI), dynamic enhanced scan distribution and internal enhancement characteristics, time-signal curve (TIC) of IGM were observed and recorded. Then reserved the comprehensive analysis of MRI performance characteristics of IGM.Results: IGM showed mass enhancement in 1 case with circumscribed margin and rim enhancement. There were 19 cases of non mass enhancement. The apparent diffusion coefficient (ADC) value in the non-abscess forming area was (0.93±0.15)×10-3 mm2/s. They mainly appeared regional distribution (11/19, 57.9%) and segmental distribution (6/19, 31.6%). The internal enhancement characteristics was mainly inhomogeneous enhancement (14/19, 73.7%) and the aspect ratio was 1.73±0.66. There were 17 cases accompanied by micro-abscess.Conclusions: IGM has a relatively characteristic appearance on MRI. The formation of micro-abscess is more valuable to the diagnosis of this disease. The correct understanding and diagnosis of IGM can provide valuable reference for the clinical diagnosis and treatment.
[Keywords] granulomatous mastitis；magnetic resonance imaging

ZHAO Jianxiu Department of Radiology, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China

ZHOU Juan Department of Radiology, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China

SHENG Fugeng* Department of Radiology, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China

LI Ming Department of Radiology, the Fifth Medical Center of PLA General Hospital, Beijing 100071, China

*Correspondence to: Sheng FG, E-mail: fugeng_sheng@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This study was supported by Grants of the Natural Natural Science Foundation of China NO. 21575161
Received  2018-11-14
Accepted  2019-01-20
DOI: 10.12015/issn.1674-8034.2019.05.006
Cite this article as: Zhao JX, Zhou J, Sheng FG, et al. MRI diagnosis of nonspecific granulomatous lobular mastitis. Chin J Magn Reson Imaging, 2019, 10(5): 348-351. DOI:10.12015/issn.1674-8034.2019.05.006.

[1]
苏哲. 小叶肉芽肿性乳腺炎临床病理学特征分析. 中国实用医药, 2016, 11(29): 45-46.
[2]
Kessler E, Wolloch Y. Granulomatous mastitis: a lesion clinically simulating carcinoma. Am J Clin Pathol, 1972, 58(6): 642-646.
[3]
Kamyab A. Granulomalous lobular mastitis secondary to mycobacterium fortuitum. World J Clin Cases, 2016, 4(12): 409-412.
[4]
周长玉，许茂盛，喻迎星, 等. 肉芽肿性乳腺炎的动态增强MRI和扩散加权成像表现及其与乳腺癌的鉴别. 中华放射学杂志, 2014, 48(12): 1000-1004.
[5]
Pereira FA, Mudgil AV, Macias ES, et al. Idiopathic granulomatous lobular mastitis. Int J Dermatol, 2012, 51(2): 142-151.
[6]
郑国强，李维亚，王红芳, 等. 25例肉芽肿性小叶性乳腺炎(IGM)患者临床病因调查分析. 中医临床研究, 2017, 9(21): 70-72.
[7]
周长玉，金平，许茂盛, 等. 特发性肉芽肿性乳腺炎MRI表现分析. 浙江医学, 2016, 38(23): 1950-1952.
[8]
周素娟，郭华. 肉芽肿性小叶性乳腺炎21例临床病理观察. 吉林医学, 2013, 34(23): 4742-4743.
[9]
赵建秀，盛复庚，周娟, 等. 非肿块型乳腺癌MR征象与病理的相关性.实用放射学杂志, 2018, 34(8): 1196-1198, 1262.
[10]
李逢芳，陈慧铀，王瑞. FFDM表现为肿块与非肿块型乳腺癌的MR-DCE诊断分析. 中国CT和MRI杂志, 2016, 14(4): 33-37.
[11]
Liu Y, Zhang J, Zhou YH, et al. IL-6/STAT3 signaling pathway is activated in plasma cell mastitis. Int J Clin Exp Pathol, 2015, 8(10): 12541-12548.
[12]
陶秀丽，李忱瑞，李静, 等. 单纯乳腺导管内癌的3.0 T MR影像表现(附97例)分析. 医学影像学杂志, 2013, 23(10): 1553-1557.
[13]
Renz DM, Baltzer PA, Bottcher J, 等. 炎性乳癌和急性乳腺炎MR成像:对比研究. 国际医学放射学杂志, 2009, 32(1): 83.

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