中华肿瘤杂志
中華腫瘤雜誌
중화종류잡지
CHINESE JOURNAL OF ONCOLOGY
2013年
9期
703-707
,共5页
苏昆仑%徐海滨%张正贤%潘农%何俊玲%胡祖健%杨欧欧%罗华%杨慧芬
囌昆崙%徐海濱%張正賢%潘農%何俊玲%鬍祖健%楊歐歐%囉華%楊慧芬
소곤륜%서해빈%장정현%반농%하준령%호조건%양구구%라화%양혜분
超声检查%成像,三维%乳腺肿瘤%诊断
超聲檢查%成像,三維%乳腺腫瘤%診斷
초성검사%성상,삼유%유선종류%진단
Ultrasonography%Imaging,three-dimensional%Breast neoplasms%Diagnosis
目的 评价自动乳腺全容积扫查(ABVS)系统诊断乳腺高危小病灶的准确性.方法 经病理检查证实的112例乳腺疾病患者的112个高危小病灶,经ABVS检查后分为良性病灶组和恶性病灶组,比较两组患者的临床病理学特征和病灶的超声影像学特点.结果 112个病灶中,良性病灶49个,恶性病灶63个.63个恶性病灶的ABVS测量大小为(1.59±0.52)cm,病理学测量大小为(1.52±0.58)cm,差异无统计学意义(P =0.194).良性病灶患者的年龄为(38.5±7.4)岁,恶性病灶患者的年龄为(52.4±13.6)岁,差异有统计学意义(P＜0.001).良性病灶和恶性病灶的形状、方向、边缘、边界、回声类型、有无钙化、BI-RADS分级以及有无汇聚征的差异均有统计学意义(均P＜0.05),而病灶部位和后方回声特征的差异无统计学意义(均P＞0.05).ABVS检测有无汇聚征与乳腺癌的病理学类型和组织学分级有关(均P＜0.05).汇聚征诊断乳腺癌的特异度、灵敏度和准确率分别为100％ (46/46)、73.0％ (46/63)和84.8％ (95/112).结论 ABVS对乳腺高危小病灶的测量较为准确.ABVS冠状面上的汇聚征诊断乳腺癌的准确率和特异度高.
目的 評價自動乳腺全容積掃查(ABVS)繫統診斷乳腺高危小病竈的準確性.方法 經病理檢查證實的112例乳腺疾病患者的112箇高危小病竈,經ABVS檢查後分為良性病竈組和噁性病竈組,比較兩組患者的臨床病理學特徵和病竈的超聲影像學特點.結果 112箇病竈中,良性病竈49箇,噁性病竈63箇.63箇噁性病竈的ABVS測量大小為(1.59±0.52)cm,病理學測量大小為(1.52±0.58)cm,差異無統計學意義(P =0.194).良性病竈患者的年齡為(38.5±7.4)歲,噁性病竈患者的年齡為(52.4±13.6)歲,差異有統計學意義(P＜0.001).良性病竈和噁性病竈的形狀、方嚮、邊緣、邊界、迴聲類型、有無鈣化、BI-RADS分級以及有無彙聚徵的差異均有統計學意義(均P＜0.05),而病竈部位和後方迴聲特徵的差異無統計學意義(均P＞0.05).ABVS檢測有無彙聚徵與乳腺癌的病理學類型和組織學分級有關(均P＜0.05).彙聚徵診斷乳腺癌的特異度、靈敏度和準確率分彆為100％ (46/46)、73.0％ (46/63)和84.8％ (95/112).結論 ABVS對乳腺高危小病竈的測量較為準確.ABVS冠狀麵上的彙聚徵診斷乳腺癌的準確率和特異度高.
목적 평개자동유선전용적소사(ABVS)계통진단유선고위소병조적준학성.방법 경병리검사증실적112례유선질병환자적112개고위소병조,경ABVS검사후분위량성병조조화악성병조조,비교량조환자적림상병이학특정화병조적초성영상학특점.결과 112개병조중,량성병조49개,악성병조63개.63개악성병조적ABVS측량대소위(1.59±0.52)cm,병이학측량대소위(1.52±0.58)cm,차이무통계학의의(P =0.194).량성병조환자적년령위(38.5±7.4)세,악성병조환자적년령위(52.4±13.6)세,차이유통계학의의(P＜0.001).량성병조화악성병조적형상、방향、변연、변계、회성류형、유무개화、BI-RADS분급이급유무회취정적차이균유통계학의의(균P＜0.05),이병조부위화후방회성특정적차이무통계학의의(균P＞0.05).ABVS검측유무회취정여유선암적병이학류형화조직학분급유관(균P＜0.05).회취정진단유선암적특이도、령민도화준학솔분별위100％ (46/46)、73.0％ (46/63)화84.8％ (95/112).결론 ABVS대유선고위소병조적측량교위준학.ABVS관상면상적회취정진단유선암적준학솔화특이도고.
Objective To assess the accuracy of detection by automated breast volume scanner (ABVS) in diagnosis of high-risk and small breast lesions.Methods One hundred and twelve patients with solid high-risk and small breast lesions were identified by ABVS.The patients were divided into benign lesion group and cancer group after pathological examination.The clinicopathological findings and ultrasonographic features of the lesions were compared.Results Among the 112 lesions there were 49 benign and 63 malignant lesions.The mean size on ABVS and pathology were (1.59±0.52) cm and (1.52 ±0.58) cm.There was no significant difference in tumor sizes determined by ABVS and pathology (P =0.194).The mean age of patients with benign lesions was (38.5 ± 7.4) years and that of malignant lesions was(52.4 ± 13.6)years,showing a significant difference between the two groups(P ＜ 0.001).The mass shape,orientation,margin,lesion boundary,echo pattern,calcification,BI-RADS category and retraction phenomenon were significantly different of the malignant and benign masses (P ＜ 0.05).But there was no significant difference in the location of lesions and posterior acoustic features (P ＞ 0.05).Retraction phenomenon was significantly associated with pathological type and histologic grade of the breast cancer (P ＜0.01).The specificity,sensitivity and accuracy of retraction phenomenon were 100％ (46/46),73.0％ (46/63),and 84.8％ (95/112),respectively.Conclusions ABVS provides advantages of better size prediction of high-risk and small breast lesions.Furthermore,the retraction phenomenon in coronal plane shows high specificity and sensitivity in detecting breast cancer.
