高频彩超对炎性乳癌诊断价值的分析

发布时间：2018-04-01 01:02

  本文选题：乳腺肿瘤　切入点：超声检查　出处：《中国临床医学影像杂志》2016年11期

【摘要】：目的:探讨高频彩超对炎性乳癌的诊断价值。方法 :回顾性分析经手术病理证实的16例炎性乳癌的临床资料,对其临床症状、超声声像图特征及病理类型进行总结分析。结果:16例炎性乳癌临床表现为患侧乳腺丹毒样红肿,触诊均可扪及不规则肿块。1例误诊为急性乳腺炎,经治疗后无明显改善,后经穿刺病理学活检诊断为炎性乳腺癌。15例经高频彩超提示诊断,声像图表现为:病变区域皮肤及皮下组织增厚水肿,淋巴管扩张,呈"鹅卵石"样改变,另可见不规则肿块,伴或不伴钙化,引流区淋巴结肿大。所有患者病理结果均伴有淋巴管癌栓。结论:对有急性乳腺炎表现的患者,结合高频彩超的声像图表现综合分析是提高炎性乳癌术前诊断的关键。
[Abstract]:Objective: to investigate the diagnostic value of high frequency color Doppler ultrasound in inflammatory breast cancer. Methods: the clinical data of 16 cases of inflammatory breast cancer confirmed by surgery and pathology were analyzed retrospectively and the clinical symptoms were analyzed. Results the clinical manifestations of 16 cases of inflammatory breast cancer were erysipelin redness, palpation and irregular mass were misdiagnosed as acute mastitis. After biopsy, 15 cases of inflammatory breast cancer were diagnosed by high frequency color ultrasound. The sonogram showed thickening and edema of skin and subcutaneous tissue, dilation of lymphatic vessels, cobblestone appearance, and irregular mass. With or without calcification, the lymph nodes in the drainage area were enlarged. All the patients were accompanied by lymphangiocarcinoma thrombus. Conclusion: for patients with acute mastitis, It is the key to improve the preoperative diagnosis of inflammatory breast cancer by analyzing the sonographic features of high frequency color Doppler sonography.
【作者单位】： 三峡大学人民医院;
【分类号】：R737.9;R445.1

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