摘要
目的探讨乳腺浸润性导管癌与纤维腺瘤的超声诊断与鉴别诊断。方法对经超声诊断并经手术病理证实的乳腺浸润性导管癌27例与纤维腺瘤23例的超声图像进行回顾性分析。结果 27例浸润性导管癌中形态不规则的21例,边界不清的20例,内见点状强回声19例,蟹足样改变的2例,其内及周边见血流信号11例,腋窝淋巴结肿大4例。23例纤维腺瘤中形态规则的21例,边界尚清的23例,内见点状强回声1例,无蟹足样改变,其内及周边见血流信号1例,腋窝淋巴结肿大1例。结论乳腺浸润性导管癌与纤维腺瘤可以通过二维超声及彩色多普勒血流成像加以鉴别诊断。
Objective To explore the ultrasonic diagnosis and differential diagnosis of infiltrating ductal carcinoma and breast fibroadenoma. Methods The ultrasonoscopy of 27 cases with infiltrating ductal carcinoma and 23 cases with breast fibroadenoma confirmedby postoperative pathological diagnosis were retrospectively analyzed. Results Among the 27 cases with infiltrating ductal carcinoma, irregular form in 21 cases, unclear boundaries in 20 cases, point-like strong echoes in 19 cases, spiculate and foliarmargins in 2 cases, intratumoral Doppler blood flow signals in 1 lcases, lymphadenectasis of armpit in 4 cases. Among the 23 cases with breast fibroadenoma, regular form in 21 cases, distinct boundaries in 23 cases, point-like strong echoes in one case, no spiculate and foliar margins, intratumoral Doppler blood flow signals in one case, lymphadenectasis of armpit in one cases. Conclusion The breast infiltrating ductal carcinoma and fibroadenoma could be differentially diagnosed by 2 D-ultrasongraphy and color Dopper flow imaging.
出处
《临床医学工程》
2010年第11期69-70,共2页
Clinical Medicine & Engineering
关键词
乳腺浸润性导管癌
纤维腺瘤
超声诊断
Infiltrating ductal carcinoma
Breast fibroadenoma
Ultrasonic diagnosis
