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乳腺淋巴瘤超声影像与病理分析 被引量:12

Breast lymphoma ultrasound image and clinical pathological analysis
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摘要 目的探讨乳腺淋巴瘤的超声表现及其病理基础。方法回顾性分析2006年1月至2015年12月在南京医科大学第一附属医院行超声检查且经病理确诊的乳腺淋巴瘤24例,重点观察分析患者的超声表现和临床病理的相关资料,将超声表现与其病理对比分析。结果根据超声图像有无边界可分为肿块型和弥漫型。弥漫型10例(10/24,41.7%),肿块型14例(14/24,58.3%),病理以弥漫大B淋巴瘤为主,不同分型的超声表现基于病理上的组织学改变,常与淋巴瘤细胞浸润的位置、程度、范围及不同病程阶段有关。肿块型与弥漫型在病变范围比较中有差异。继发与原发乳腺淋巴瘤在超声表现类型比较中无明显差异。在病变分布比较中有差异。结论乳腺淋巴瘤的超声图像多变各异,其表现与病理基础密切相关,提高对乳腺淋巴瘤的认识具有较高的临床价值。 Objective To investigate the relationship between different image sonographic findings and different pathological breast lymphoma. Methods A total of 24 patients of breast lymphoma from the First Affiliated Hospital of Nanjing Medical University who were confirmed by pathology were retrospectively analyzed between January 2006 and December 2015. All the ultrasound and clinical pathologic features of relevant information were collected to observe the pathological changes of ultrasonographic performance. Results Ultrasonic image can be divided into mass type and diffuse typpe . There were 10 cases of diffuse type (10/24,41.7%), 14 cases of mass type (14/24, 58. 3% ) . Pathology was given priority to diffuse large B lymphoma . Sonographic findings of different classification were based on pathological histology, which were related with the lymphoma cells infiltrating location, degree, scope and different stages of progression. Mass type and diffuse type were different in the lesion range comparison. Secondary and primary breast lymphoma in ultrasound performance type had no significant difference. There were differences in the lesion distribution comparison. Conclusion Breast lymphoma have different sonographic features based on histological features.
出处 《中华医学杂志》 CAS CSCD 北大核心 2016年第33期2655-2658,共4页 National Medical Journal of China
基金 国家自然科学基金青年科学基金(81401427)
关键词 超声检查 乳房 淋巴瘤 病理学 Uhrasonography, mammary Lymphoma Pathology
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