CAJ | 학술논문

目的：总结乳腺纤维腺瘤恶变的声像图特征，提高对该病的认识。方法回顾性分析41例经病理证实为纤维腺瘤恶变的高频声像图表现，并与病理结果对照。结果超声诊断为乳腺癌17例，纤维腺瘤16例，实性肿物7例，导管内乳头状瘤1例，病理诊断乳腺纤维腺瘤伴有导管上皮非典型增生及导管原位癌12例，乳腺纤维腺瘤伴有导管上皮非典型增生-小管癌1例，乳腺纤维腺瘤与乳腺癌交织或相邻28例。结论掌握乳腺纤维腺瘤恶变的声像图特征及病理表现，减少误诊，提高诊断水平。
목적：총결유선섬유선류악변적성상도특정，제고대해병적인식。방법회고성분석41례경병리증실위섬유선류악변적고빈성상도표현，병여병리결과대조。결과초성진단위유선암17례，섬유선류16례，실성종물7례，도관내유두상류1례，병리진단유선섬유선류반유도관상피비전형증생급도관원위암12례，유선섬유선류반유도관상피비전형증생-소관암1례，유선섬유선류여유선암교직혹상린28례。결론장악유선섬유선류악변적성상도특정급병리표현，감소오진，제고진단수평。
Objective To summarize the characteristics of breast carcinoma within fibroadenoma by high-frequency ultrasonography for improving the cognition of this diease. Methods Forty-one masses proven breast carcinoma within fibroadenoma by pathology were reviewed,the ultrasonic images were analysed and compared with pathological show. Results The diagnositic conclusions with high-frequency ultrasonography were: 17 breast cancer, 16 breast fibroadenoma, 7 solid mass and 1 intraductal papil oma. The final pathologic results were: 12 ductal atypia and ductal cancer in situ, 1 ductal atypia and tublar cancer, 28 fibroadenoma mixed with carcinoma or carcinoma on the boderline of it. Conclusions Mastering the sonographic and pathological features of breast carcinoma within fibroadenoma can reduce misdiagnosis and improve the diagnosis ability.