CAJ | 학술논문

目的：探讨自动乳腺全容积成像技术（ABVS）冠状面图像在乳腺肿瘤鉴别诊断中的应用价值。方法回顾性分析90例患者（共92个乳腺肿块），其ABVS冠状面表现为边缘不光整，根据冠状面图像的特征分为边缘模糊不清、毛刺、成角、分叶4种，与手术病理检查结果对比分析。结果边缘毛刺征82个，其中74个呈“火山口”征，“火山口”征对浸润性导管癌的诊断符合率达100%。其余类型乳腺恶性肿瘤ABVS冠状面表现呈多样性，有成角、分叶、模糊不清。其中11个肿块经病理检查证实为乳腺良性肿瘤。结论 ABVS的冠状面“火山口”征对于乳腺恶性肿瘤有较高的敏感性，但也有部分良性肿块冠状面呈不光整边缘，需结合其他检测手段客观进行鉴别诊断。
목적：탐토자동유선전용적성상기술（ABVS）관상면도상재유선종류감별진단중적응용개치。방법회고성분석90례환자（공92개유선종괴），기ABVS관상면표현위변연불광정，근거관상면도상적특정분위변연모호불청、모자、성각、분협4충，여수술병리검사결과대비분석。결과변연모자정82개，기중74개정“화산구”정，“화산구”정대침윤성도관암적진단부합솔체100%。기여류형유선악성종류ABVS관상면표현정다양성，유성각、분협、모호불청。기중11개종괴경병리검사증실위유선량성종류。결론 ABVS적관상면“화산구”정대우유선악성종류유교고적민감성，단야유부분량성종괴관상면정불광정변연，수결합기타검측수단객관진행감별진단。
Objective To assess the value of the automated breast volume scanner (ABVS) in differential diagnosis of breast neoplasms. Methods The clinical data of 90 patients with 92 breast lumps, who underwent ABVS examination, were ret-rospectively analyzed. The appearances on coronal plane of ABVS were classified into 4 types: indistinct margin, splculated, angular and microlobulated. The ultrasound manifestations were compared with histopathological findings. Results Among 90 patients 82 presented splculated type, including 74 cases appeared retraction phenomenon, al of whom were diagnosed as in-vasive ductal carcinoma;while other type of breast malignancy presented diversity in ABVS coronal plane as angular, microlob-ulated or indistinct margin. Other 11 cases were pathological y diagnosed as breast benign tumor. Conclusion The ABVS coro-nal plane retraction phenomenon has a high sensitivity for diagnosis of breast cancer, but some benign masses also present margin circumscribed, in this case other diagnostic approaches are needed.