摘要
目的研究乳腺粘液癌的病理学特性和超声声像图表现,解释其病理学特性是超声诊断敏感性低的客观原因。方法回顾性分析我院1999-2006年经手术和病理证实的乳腺粘液腺癌56例68个病变的声像图表现和病理资料。结果56例乳腺粘液腺癌中,术前超声检出乳腺病变的敏感性为98.5%（1/68个包块漏检）,但术前超声提示乳腺癌的敏感性仅33例（59%）,漏诊病例23例（41%）。病理学上,乳腺粘液腺癌属于特殊性的浸润性乳腺癌,包块生长缓慢,约半数呈膨胀性生长,境界清楚,甚至假包膜形成,肿瘤富含粘液,质地较软,容易被误诊为富含粘液的纤维腺瘤。结论乳腺粘液癌特殊的病理学特性是超声容易误诊的客观原因,影像学医师在推断引起影像学改变的病因或病理时应该使用较为客观的诊断术语。
Objective： The pathology and nltrasonography of mucinous carcinonma of breast were studied it, order to explain low sensitivity of diagnosis of mucinous carcinoma of breast. Method： The uhrasonographies and histological statas of 56 cases （67 lesions） with mucinons carcinoma of breast from Jan, 1999 - May, 2006 in our hospital were reviewed. Results： There were 68 lesions in 56 cases with mucinous carcinoma of breast. The sensitivity of finding the lesions with CDFI was 98.5% （1 lesion was missed）, but the sensitivity of diagnosiag carcinomas with CDFI was only 59% （33/56 cases）. In the other wont, 41% of mucinous carcinoma of breast could be misdiagnosed from CDFI. The mutinous carcinoma of breast was a special carcinoma, It grows slowly and expending. In more than half of the lesions the margin was clear and regular. There was mucilage so it was soft. The mucinous eareinoma of breast was easily mistaken as fibroadenoma. Conclusion： The specifieicity of pathology of mutinous carcinoma of breast made the misdiagnosis by doctors in medical images. As an image doctor, it was important that the diagrostic conclusions ought to be objective in reaching the pathologic diagnosis of a lesion.
出处
《华西医学》
CAS
2007年第2期254-255,共2页
West China Medical Journal
关键词
乳腺
粘液癌
超声
病理
breast
roucinous carcinoma
uhrasonography
pathology
