摘要
目的探讨乳腺癌声像图特征及其与病理组织学类型的关系。方法对97例术后病理证实为乳腺癌患者的彩色多普勒超声表现与病理结果进行回顾性分析。结果①乳腺癌超声表现:肿块边界多不清晰或呈毛刺征,内部多呈低回声,后方回声衰减,部分可见沙粒样钙化,肿块内及周边可探及丰富的高速高阻型动脉血流信号。②肿块毛刺征、后方回声衰减、血流信号分级在各病理类型之间的差异有统计学意义(P<0.05),浸润性导管癌和浸润性小叶癌超声多表现为后方回声衰减。腋窝淋巴结转移的肿块中浸润性导管癌占90.6%,髓样癌和小叶原位癌未发现腋窝淋巴结转移,12例导管内癌中仅1例腋窝淋巴结转移。结论乳腺癌超声表现对其病理分型有一定参考价值,可为乳腺癌的临床诊断、治疗、预后提供重要依据。
Objective To investigate the ultrasound features and their correlation with the pathologic type of breast carcinoma. Methods The uhrasound features and the pathologic type of 97 cases of breast carcinoma were analyzed. Results ① Ultrasound imaging of breast cancer： Breast cancer had blear edge or spicular sign, the internal echo was low, the rear echo was attenuated, and calcification could be seen. Mostly the breast carcinoma showed rich flow signal with fast velocity and high resistance index on Doppler ultrasonography. ②Mostly posterior echo of invasive ductal carcinoma and invasive lobular carcinoma was shown decreased on ultrasonography. There was significant difference of lymph node metastasis and pathologic type. Invasive ductal carcinoma accounted for 90.6% of breast cancer with lymph node metastasis. One of the 12 cases of intraductal carcinoma showed lymph node metastasis on ultrasonography. None of the scirrhous carcinoma or lobular carcinoma in situ of breast showed lymph node metastasis. Conclusion Ultrasonic features of breast cancer have relevance with pathologic type. Ultrasound can provide more in diagnosis, treatment and prognosis of breast cancer.
出处
《安徽医学》
2011年第12期2052-2055,共4页
Anhui Medical Journal
关键词
乳腺癌
声像图特征
病理学
Breast cancer
Ultrasonic features
Pathology
