Objective To explore the application of conventional ultrasound combined with elastography in the identifi-cation of granulomatous lobular mastitis(GLM)and breast cancer(BC).Methods From January 2018 to January 2022,50 GLM and BC patients in our hospital were selected as the research objects,and named as the GLM group and the BC group,respectively.All patients received conventional ultrasound and elastography after enrollment,and the results were compared to evaluate their application value in differentiating GLM from BC.Results The enlarged axillary lymph nodes,BI-RADS category 3~6,Adler grades Ⅰ~Ⅲ,calcification and posterior echo in the BC group were higher than those in the GLM group,the comparison between groups was statistically significant(P<0.05).The proportion of diffuse ductal dilatation,BI-RADS category 0~2,and Adler grade 0 in GLM group was higher than that in BC group,the comparison between groups was statistically significant(P<0.05).The elastography score of the BC group was higher than that of the GLM group,the comparison between groups was statistically significant(P<0.05).The Youden index for the differential diagnosis of GLM and BC with conventional ultrasound combined with elastography was 0.816.Conclusion Conventional ultrasound com-bined with elastography can more accurately distinguish GLM from BC,with good diagnostic efficiency and high application and promotion value.
关键词
常规超声/超声弹性成像/肉芽肿性小叶性乳腺炎/乳腺癌
Key words
Conventional ultrasound/Ultrasound elastography/Granulomatous lobular mastitis/Breast cancer