摘要
目的:分析超声在乳腺叶状肿瘤诊断中的应用价值。方法:采用回顾性研究,对64例乳腺叶状肿瘤患者超声图像及病理资料进行分析,并将所得数据纳入统计学软件进行数据处理。结果:经病理结果显示,64例乳腺叶状肿瘤患者中,恶性肿瘤10例,交界性肿瘤18例,良性肿瘤36例,均无腋窝淋巴结肿大。本组64例患者中,经超声诊断准确率为34.38%,46.88%误诊为乳腺纤维腺瘤,其中良性、交界性、恶性误诊为乳腺纤维腺瘤的比例分别为55.56%、50.00%、10.00%。在二维灰阶超声图像表现上,不同性质的乳腺叶状肿瘤患者在病灶边界是否清晰、有无囊性回声区、内部回声是否均匀、是否存在高回声分隔上的比较,存在显著性差异(P<0.05),而在病灶形态、肿瘤直径、是否存在钙化、后方回声是否增强上的比较,并无显著性差异(P>0.05)。64例乳腺叶状肿瘤患者均可见不同程度的血流信号,且不同肿瘤性质的患者在血流信号分级上的比较,并无显著性差异(P>0.05)。结论:乳腺叶状肿瘤具有一定的超声图像特征,其中肿瘤内部有无小囊性无回声区和高回声分隔及肿块边界是否清晰可见是判断乳腺叶状肿瘤良恶性的重要依据,提示超声在乳腺叶状肿瘤的临床诊断中具有良好的应用价值。
Objective:To analyze the application value of color Doppler ultrasound diagnostic apparatus in the diagnosis of breast phylloid tumors.Methods:A retrospective study was conducted to analyze the ultrasonographic and pathological data of 64 patients with breast phyllodes tumors.The data were processed by statistical software.Results:The pathological results showed that among 64 cases of phyllodes tumor of the breast,10 cases of malignant tumor,18 cases of borderline tumor,36 cases of benign tumors,without axillary lymph node enlargement.The diagnostic accuracy rate of ultrasound among 64 patients was 34.38%,of which 46.88%were misdiagnosed as fibroadenoma of breast,and the benign,borderline and malignant misdiagnosed as breast fibroadenoma respectively 55.56%,50.00%,10.00%.In the two-dimensional ultrasonic imaging,there were significant differences between patients with breast phyllodes tumors of different nature in the clearness of lesion boundary,cystic echo area,homogeneity of internal echo and hyperechoic septum(P<0.05),and there was no significant difference in the shape of the lesion,the diameter of the tumor,the presence of calcification and the enhancement of the posterior echo(P>0.05).64 patients with phyllodes tumor of the breast showed different degrees of blood flow signals,and there was no significant difference in blood flow signal grading between patients with different tumors(P>0.05).Conclusion:Breast phyllodes tumors have some characteristics of ultrasonography.Whether there are small cystic anechoic areas and hyperechoic segregation within the tumors and whether the boundary of the tumors is clearly visible is an important basis for judging the benign and malignant of breast phyllodes tumors,suggesting that ultrasonography has a good application value in the clinical diagnosis of breast phyllodes tumors.
作者
江桂琼
甘科红
陈旭玲
陈海燕
JIANG Guiqiong(Qingxin District People's Hospital,Guangdong Qingyuan 511800,China)
出处
《河北医学》
CAS
2019年第7期1170-1174,共5页
Hebei Medicine
基金
广东省自然科学基金项目,(编号:2017A030310125)
关键词
叶状肿瘤
乳腺
彩色多普勒超声
诊断仪
Phyllodes tumor
Breast
Color doppler ultrasound
Diagnostic apparatus
