中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
2期
385-387
,共3页
超声%导管型乳腺癌%乳腺导管内乳头状瘤%诊断价值
超聲%導管型乳腺癌%乳腺導管內乳頭狀瘤%診斷價值
초성%도관형유선암%유선도관내유두상류%진단개치
ultrasound%ductal breast cancer(DBC)%intraductal papilloma(IDP)%diagnosis value
目的:通过观察导管型乳腺癌( DBC)与乳腺导管内乳头状瘤( IDP)的超声声像图表现特点,探讨超声对两者的鉴别诊断价值。方法对62例行彩色多普勒超声检查经手术病理证实为DBC患者及经手术病理证实为IDP且超声分型为导管扩张型的患者60例作回顾性分析。结果62例DBC患者超声诊断符合率为77.4%(48/62),6例误诊为IDP;60例IDP患者超声诊断符合率为91.7%(55/60),5例提示为恶性病变。 DBC与IDP患者乳腺癌导管内径比较[(5.6±4.7) mm VS (5.4±4.1) mm],差异无统计学意义(P>0.05);DBC与IDP在导管的走行、形态、壁回声、钙化灶方面比较差异均具有统计学意义(χ2值分别为40.831、32.004、31.732、47.550,均P<0.05);两者血流分布中导管周边和导管内部比较差异均有统计学意义(χ2值分别为15.756、25.442,均P<0.05),而血流分级比较则差异无统计学意义(P>0.05)。结论导管增粗、沿导管周围有微小钙化灶、管壁模糊且不规律中断、走行僵硬且导管周围有丰富血流信号是DBC的超声特征,对鉴别DBC与IDP具有重要价值。
目的:通過觀察導管型乳腺癌( DBC)與乳腺導管內乳頭狀瘤( IDP)的超聲聲像圖錶現特點,探討超聲對兩者的鑒彆診斷價值。方法對62例行綵色多普勒超聲檢查經手術病理證實為DBC患者及經手術病理證實為IDP且超聲分型為導管擴張型的患者60例作迴顧性分析。結果62例DBC患者超聲診斷符閤率為77.4%(48/62),6例誤診為IDP;60例IDP患者超聲診斷符閤率為91.7%(55/60),5例提示為噁性病變。 DBC與IDP患者乳腺癌導管內徑比較[(5.6±4.7) mm VS (5.4±4.1) mm],差異無統計學意義(P>0.05);DBC與IDP在導管的走行、形態、壁迴聲、鈣化竈方麵比較差異均具有統計學意義(χ2值分彆為40.831、32.004、31.732、47.550,均P<0.05);兩者血流分佈中導管週邊和導管內部比較差異均有統計學意義(χ2值分彆為15.756、25.442,均P<0.05),而血流分級比較則差異無統計學意義(P>0.05)。結論導管增粗、沿導管週圍有微小鈣化竈、管壁模糊且不規律中斷、走行僵硬且導管週圍有豐富血流信號是DBC的超聲特徵,對鑒彆DBC與IDP具有重要價值。
목적:통과관찰도관형유선암( DBC)여유선도관내유두상류( IDP)적초성성상도표현특점,탐토초성대량자적감별진단개치。방법대62례행채색다보륵초성검사경수술병리증실위DBC환자급경수술병리증실위IDP차초성분형위도관확장형적환자60례작회고성분석。결과62례DBC환자초성진단부합솔위77.4%(48/62),6례오진위IDP;60례IDP환자초성진단부합솔위91.7%(55/60),5례제시위악성병변。 DBC여IDP환자유선암도관내경비교[(5.6±4.7) mm VS (5.4±4.1) mm],차이무통계학의의(P>0.05);DBC여IDP재도관적주행、형태、벽회성、개화조방면비교차이균구유통계학의의(χ2치분별위40.831、32.004、31.732、47.550,균P<0.05);량자혈류분포중도관주변화도관내부비교차이균유통계학의의(χ2치분별위15.756、25.442,균P<0.05),이혈류분급비교칙차이무통계학의의(P>0.05)。결론도관증조、연도관주위유미소개화조、관벽모호차불규률중단、주행강경차도관주위유봉부혈류신호시DBC적초성특정,대감별DBC여IDP구유중요개치。
Objective To observe the ultrasonic features of ductal breast cancer ( DBC) and breast intraductal papilloma ( IDP) so as to explore the differential diagnosis value of ultrasonography.Methods Retrospective analysis was conducted on 62 cases of DBC undergoing color Doppler ultrasonography and confirmed by operation and pathology and 60 cases of IDP confirmed by operation and pathology and with ductal dilatation revealed by ultrasonography.Results The ultrasound diagnosis coincidence rate of DBC patients was 77.4%(48/62) with 6 cases misdiagnosed as IDP, and that of IDP patients was 91.7%(55/60) with 5 cases diagnosed with malignant lesions.DBC patients were not significantly different from IDP patients in tube diameter [(5.6 ±4.7)mm vs (5.4 ±4.1)mm] (P >0.05).There were significant differences in the aspects of courser, catheter morphology, wall echo and calcification between IDP cases and DBC cases (χ2 value was 40.831, 32.004, 31.732 and 47.550, respectively, all P<0.05).The differences in blood flow distribution surrounding catheter and inside were also significant (χ2 value was 15.756 and 25.442, respectively, both P<0.05).But blood flow grading was not remarkably different between them ( P>0.05 ) .Conclusion Catheter thickening, tiny calcification along catheter, fuzzy tube wall and irregular interrupt, stiff courser and rich blood flow signals around duct are the ultrasonic features of DBC, which has important value in differential diagnosis of DBC and IDP.