CAJ | 학술논문

目的探讨高频超声在乳腺癌腋窝淋巴结转移诊断中的应用价值.方法 79例乳腺癌患者术前均行腋窝淋巴结高频超声检查,观察有无肿大淋巴结,淋巴结形态、大小、数目等二维声像图特征及其血流分布,术后与病理对照分析.结果 79例患者中,51例检出淋巴结肿大,敏感性64.5%(51/79),其中可疑淋巴结转移27例,病理证实淋巴结转移25例,敏感性92.6%(25/27).结论高频超声是检出乳腺癌腋窝淋巴结转移一种简便有效的方法,淋巴结横径(T)>5mm,纵径/横径比(L/T)<2,可作为诊断腋窝淋巴结转移的重要参考指标,边缘形态、内部回声、彩色多普勒血流分布等声像图可作为诊断淋巴结转移的参考.
목적 탐토고빈초성재유선암액와림파결전이진단중적응용개치.방법 79례유선암환자술전균행액와림파결고빈초성검사,관찰유무종대림파결,림파결형태、대소、수목등이유성상도특정급기혈류분포,술후여병리대조분석.결과 79례환자중,51례검출림파결종대,민감성64.5%(51/79),기중가의림파결전이27례,병리증실림파결전이25례,민감성92.6%(25/27).결론 고빈초성시검출유선암액와림파결전이일충간편유효적방법,림파결횡경(T)>5mm,종경/횡경비(L/T)<2,가작위진단액와림파결전이적중요삼고지표,변연형태、내부회성、채색다보륵혈류분포등성상도가작위진단림파결전이적삼고.
Objective To evaluate the diagnostic value of high frequency ultrasonography in axillary lymph nodes metastasis of breast carcinoma. Methods Seventy-nine patients with breast carcinomas were examined for axillary lymph nodes by high frequency ultrasonography before operation. The shape size,echogenicity and blood supply on high frequency ultrasonography were recorded and compared with that of pathology after operation. Results Among 79 patients, 51 patients showed turgid axillary lymph nodes on high frequency ultrasonography and the sensitivity was 64.5% (51/79).There were 27 patients with susputive axillary lymph nodes metastasis of breast carcinoma,and 25 of them were confirmed by pathology after operation with a sensitivity of 92.6% (25/27). Conclusion High Frequency ultrasonography is a simple and valuable method to show axillary lymph nodes metastasis of breast cancinomas.An important index for axillary lymph nodes metastasis of breast carcinoma is the transverse of axillariy node (T)>5mm and longitude/transverse (S/L) ratio<2. The shape echogenicity and blood supply of axillary lymph nodes are references for metastasis of breast carcinoma.