摘要
目的:探讨乳腺实性乳头状癌(solid papillary carcinoma,SPC)灰阶超声、彩色多普勒超声和超声弹性成像的图像特点及诊断价值。方法:分析18例经病理证实的SPC患者的超声图像资料。结果:病灶呈单发、多发导管内病变或实性病变。17个肿块呈低回声或中等回声,1个呈囊实性。10个肿块内见细小钙化。7个肿块后方回声增强,3个后方回声衰减,8个后方回声不变。12个肿块血流丰富,2个血流中等,4个无血流或少量血流。7例原位癌或微小浸润性癌弹性评分为1～2分,3例浸润性癌弹性评分为4分。4例单发导管内原位癌超声诊断为导管内乳头状瘤;14例多发导管内病灶及单发实性肿块中,超声诊断为恶性肿瘤11例、导管内乳头状瘤3例。结论:SPC有多种超声表现,超声有助于乳腺多发导管内病灶及实性病灶的术前良恶性诊断,灰阶超声与超声弹性成像联合应用有助于提示SPC的浸润程度。
Objective:To investigate grayscale ultrasound,color Doppler ultrasound and elastography features and diagnostic value in solid papillary carcinoma (SPC)of the breast.Methods:The sonographic data of 18 cases with SPC of the breast proved by pathology were analyzed.Results:The lesions were presented as intraluminal (solitary or multiple)or solid mass.Seventeen lesions were hypoechoic or iosechoic,and one was complex solid and cystic.Microcalcifications were found in 10 lesions. Posterior transmission showed posterior enhancement in 7 lesions,posterior attenuation in 3 lesions and no changes in 8 lesions. Hypervascular,isovascular and hypo-/avascular were found in 12,2,4 lesions respectively.Seven carcinomas in situ with or without focal microinvasion scored as 1-2 by elastography.Three carcinomas with invasion scored as 4.Four solitary intraductal masses were diagnosed as papilloma.Fourteen multiple intraductal masses or solitary solid masses were diagnosed as malignant tumor (11 cases)or papilloma (3 cases)by ultrasound.Conclusion:The sonographic appearances of SPC are various.Ultrasound is useful for predicting the malignancy of multiple intraductal or solitary solid masses of SPC.The combination of grayscale ultrasound and elastography is useful for predicting tumor invasion.
作者
张韵华
刘利民
夏罕生
俞清
袁海霞
ZHANG Yunhua;LIU Limin;XIA Hansheng;YU Qing;YUAN Haixia(Department of Ultrasound,Zhongshan Hospital,Fudan University,Shanghai Institute of Medical Imaging,Shanghai 200032,China)
出处
《肿瘤影像学》
2018年第5期393-397,共5页
Oncoradiology
关键词
乳腺肿瘤
实性乳头状癌
彩色多普勒超声
超声弹性成像
Breast neoplasm
Solid papillary carcinoma
Color Doppler ultrasonography
Elastography
