Zhou S.a· Sheng C.b· Hu P.c· Ni X.d· Xu X.d· Song Q.a· Jiang X.a· Zhao H.e· Chen X.d

Author affiliations

aDepartment of Medical Ultrasound, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China
bDepartment of Thyroid and Breast Surgery, Affiliated Hospital of Nantong University, Nantong, China
cDepartment of Traditional Chinese Medicine, Affiliated Hospital of Nantong University, Nantong, China
dDepartment of Medical Ultrasound, Affiliated Hospital of Nantong University, Nantong, China
eDepartment of Interventional Radiology, Affiliated Hospital of Nantong University, Nantong, China

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Article / Publication Details

First-Page Preview

Received: April 18, 2022
Accepted: September 19, 2022
Published online: November 03, 2022

Number of Print Pages: 10
Number of Figures: 6
Number of Tables: 4

ISSN: 1661-3791 (Print)
eISSN: 1661-3805 (Online)

For additional information: https://www.karger.com/BRC

Abstract

Introduction: This study investigated the feasibility of ultrasound (US)-guided microwave ablation (MWA) as a treatment for nonpuerperal mastitis (NPM). Methods: Fifty-three patients with NPM diagnosed by biopsy and treated with US-guided MWA at the Affiliated Hospital of Nantong University between September 2020 and February 2022 were classified according to whether they underwent MWA alone (n = 29) or MWA with incision and drainage (n = 24). Patients were followed up by interviews, physical and US examinations, and evaluation of breast skin at 1 week and 1, 2, and 3 months after treatment. Data from these patients were prospectively collected and retrospectively analyzed. Results: The overall mean patient age was 34.42 ± 9.20 years. The groups differed significantly by age, involved quadrants, and the initial maximum diameter of lesions. In the MWA group, the cure rate was 34.48%, and the apparent efficiency rate was 65.52%. In the MWA with incision and drainage, the apparent efficiency rate was 91.66%, and the effective rate was 4.17%. The excellent rate for breast aesthetics in the MWA group was 79.31%, and the good rate was 20.69%. The excellent rate in the MWA with incision and drainage group was 45.83%, the good rate was 41.67%, and the qualified rate was 12.5%. The mean maximum diameter of lesions in the two groups decreased significantly. Conclusion: For NPM with small lesions in a single quadrant, MWA therapy is a direct and effective method. For larger lesions involving two or more quadrants, the combined treatment of MWA with incision and drainage showed significant improvement in a short period. MWA treatment of NPM has importance for further research and clinical applications.

© 2022 S. Karger AG, Basel

References Tan H, Li R, Peng W, Liu H, Gu Y, Shen X. Radiological and clinical features of adult non-puerperal mastitis. Br J Radiol. 2013;86(1024):20120657. Zhang L, Hu J, Guys N, Meng J, Chu J, Zhang W, et al. Diffusion-weighted imaging in relation to morphology on dynamic contrast enhancement MRI: the diagnostic value of characterizing non-puerperal mastitis. Eur Radiol. 2018;28(3):992–9. Zhou F, Shang XC, Tian XS, Yu ZG; Chinese Society of Breast Surgery. Clinical practice guidelines for diagnosis and treatment of patients with non-puerperal mastitis: Chinese Society of Breast Surgery (CSBrS) practice guideline 2021. Chin Med J. 2021;134(15):1765–7. Huang YM, Lo C, Cheng CF, Lu CH, Hsieh SC, Li KJ. Serum C-reactive protein and interleukin-6 levels as biomarkers for disease severity and clinical outcomes in patients with idiopathic granulomatous mastitis. J Clin Med. 2021;10(10):2077. An JK, Woo JJ, Lee SA. Non-puerperal mastitis masking pre-existing breast malignancy: importance of follow-up imaging. Ultrasonography. 2016;35(2):159–63. Zhang Y, Zhou Y, Mao F, Guan J, Sun Q. Clinical characteristics, classification and surgical treatment of periductal mastitis. J Thorac Dis. 2018;10(4):2420–7. Goulabchand R, Hafidi A, Van de Perre P, Millet I, Maria ATJ, Morel J, et al. Mastitis in autoimmune diseases: review of the literature, diagnostic pathway, and pathophysiological key players. J Clin Med. 2020;9(4):958. Fazzio RT, Shah SS, Sandhu NP, Glazebrook KN. Idiopathic granulomatous mastitis: imaging update and review. Insights Imaging. 2016;7(4):531–9. Hu J, Huang X. Combining ultrasonography and mammography to improve diagnostic accuracy of plasma cell mastitis. J Xray Sci Technol. 2020;28(3):555–61. Co M, Cheng VCC, Wei J, Wong SCY, Chan SMS, Shek T, et al. Idiopathic granulomatous mastitis: a 10-year study from a multicentre clinical database. Pathology. 2018;50(7):742–7. Taffurelli M, Pellegrini A, Santini D, Zanotti S, Di Simone D, Serra M. Recurrent periductal mastitis: surgical treatment. Surgery. 2016;160(6):1689–92. Barreto DS, Sedgwick EL, Nagi CS, Benveniste AP. Granulomatous mastitis: etiology, imaging, pathology, treatment, and clinical findings. Breast Cancer Res Treat. 2018;171(3):527–34. Zhu Q, Wang L, Wang PJ. The identification of gene expression profiles associated with granulomatous mastitis. Breast Care. 2021;16(4):319–27. Postolova A, Troxell ML, Wapnir IL, Genovese MC. Methotrexate in the treatment of idiopathic granulomatous mastitis. J Rheumatol. 2020;47(6):924–7. Patani N, MacAskill F, Eshelby S, Omar A, Kaura A, Contractor K, et al. Best-practice care pathway for improving management of mastitis and breast abscess. Br J Surg. 2018;105(12):1615–22. Liu F, Zang L, Liu Y, Yu X, Cheng Z, Han Z, et al. Risk factors influencing cure of ultrasound-guided microwave ablation for primary hyperparathyroidism. Int J Hyperthermia. 2022;39(1):258–64. Yang Q, Li H, Chen BH, He GZ, Wu XP, Wang LX, et al. Ultrasound-guided percutaneous microwave ablation for 755 benign breast lesions: a prospective multicenter study. Eur Radiol. 2020;30(9):5029–38. Li C, Li C, Ge H, Liang M, Ma G, Ling L, et al. Technical analysis of US imaging for precise microwave ablation for benign breast tumours. Int J Hyperthermia. 2018;34(8):1179–85. Yao J, Liu B, Wang X, Yu J, Cheng Z, Han Z, et al. Long-term efficacy of microwave ablation in the treatment of subcapsular hepatocellular carcinomas of ≤3 cm in diameter: a multicenter, propensity score-matched study. Int J Hyperthermia. 2022;39(1):209–16. Liu LH, Yang BB, Liu Y, Wang JL, Wang DD, Ding HY, et al. Factors related to the absorption rate of benign thyroid nodules after image-guided microwave ablation: a 3-year follow-up. Int J Hyperthermia. 2022;39(1):8–14. Xu S, Qi J, Bie ZX, Li YM, Li B, Guo RQ, et al. Local progression after computed tomography-guided microwave ablation in non-small cell lung cancer patients: prediction using a nomogram model. Int J Hyperthermia. 2021;38(1):1366–74. Yu J, Yu XL, Cheng ZG, Hu B, Han ZY, Liu FY, et al. Percutaneous microwave ablation of renal cell carcinoma: practice guidelines of the ultrasound committee of Chinese medical association, interventional oncology committee of Chinese research hospital association. Int J Hyperthermia. 2020;37(1):827–35. Toktas O, Konca C, Trabulus DC, Soyder A, Koksal H, Karanlik H, et al. A novel first-line treatment alternative for noncomplicated idiopathic granulomatous mastitis: combined intralesional steroid injection with topical steroid administration. Breast Care. 2021;16(2):181–7. Kafadar MT, Bahadır MV, Girgin S. Low-dose methotrexate use in idiopathic granulomatous mastitis: an alternative treatment method. Breast Care. 2021;16(4):402–7. Xu H, Jiang Y, Liao M, Li D, Zhu C. Continuous postoperative negative pressure irrigation assisted mammaplasty in treating chronic refractory plasma cell mastitis. Gland Surg. 2020;9(6):2071–8. He X, Wolkers WF, Crowe JH, Swanlund DJ, Bischof JC. In situ thermal denaturation of proteins in dunning AT-1 prostate cancer cells: implication for hyperthermic cell injury. Ann Biomed Eng. 2004;32(10):1384–98. Liu D, Brace CL. Evaluation of tissue deformation during radiofrequency and microwave ablation procedures: influence of output energy delivery. Med Phys. 2019;46(9):4127–34. Roknsharifi S, Wattamwar K, Fishman MDC, Ward RC, Ford K, Faintuch S, et al. Image-guided microinvasive percutaneous treatment of breast lesions: where do we stand?. RadioGraphics. 2021;41(4):945–66. Cao XJ, Wei Y, Zhao ZL, Peng LL, Li Y, Yu MA. Efficacy and safety of microwave ablation for cervical metastatic lymph nodes arising post resection of papillary thyroid carcinoma: a retrospective study. Int J Hyperthermia. 2020;37(1):450–5. Zuo X, Shi X, Gao X, Lai R, Liu P, Zhao Z. Treatment effect of mammary duct exploration combined with focal resection on granulomatous lobular mastitis. J Inflamm Res. 2021;14:2641–6. Koh A, Parks RM, Courtney A, Leff DR; MAMMA Steering Committee. Mastitis and mammary abscess management audit (MAMMA). Br J Surg. 2021;108(9):e286–7. Neira LM, Mays RO, Sawicki JF, Schulman A, Harter J, Wilke LG, et al. A pilot study of the impact of microwave ablation on the dielectric properties of breast tissue. Sensors (Basel). 2020;20(19):5698. Lin L, Zheng Z, Zhang J, Liu X, Chen DR, Wang H. Treatment of idiopathic granulomatous mastitis using ultrasound-guided microwave ablation: a report of 50 cases. Int J Hyperthermia. 2021;38(1):1242–50. Pluguez-Turull CW, Nanyes JE, Quintero CJ, Alizai H, Mais DD, Kist KA, et al. Idiopathic granulomatous mastitis: manifestations at multimodality imaging and pitfalls. RadioGraphics. 2018;38(2):330–56. Zhou Y, Wang SR, Xu D. Clinical study of ultrasound-guided microwave ablation in the treatment of non-lactating mastitis. Research Square: Preprint; 2021. Article / Publication Details

First-Page Preview

Received: April 18, 2022
Accepted: September 19, 2022
Published online: November 03, 2022

Number of Print Pages: 10
Number of Figures: 6
Number of Tables: 4

ISSN: 1661-3791 (Print)
eISSN: 1661-3805 (Online)

For additional information: https://www.karger.com/BRC

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