22例乳腺淋巴瘤的超声表现及超声误诊原因分析

发布时间：2018-04-24 07:19

本文选题：乳腺 + 淋巴瘤　；参考：《重庆医科大学》2015年硕士论文

【摘要】：目的：总结乳腺淋巴瘤的超声表现,并分析超声误诊原因,旨在提高乳腺淋巴瘤的超声正确诊断率。方法：回顾性分析了2009年11月～2014年12月我院经手术病理确诊的22例乳腺淋巴瘤患者的乳腺病灶超声表现,并对其超声误诊原因进行分析。结果：22例患者中均检出乳腺内局限性病灶,共31个病灶,17例患者为单发病灶,5例患者为多发病灶。31个病灶均表现为低回声,纵横比小于1,内均未见钙化灶,内部均可探及血流信号,其中25个病灶探及丰富血流信号,27个病灶后方回声增强,3个病灶后方回声无改变,1个病灶后方回声衰减,29个病灶表现为椭圆形或分叶状,2个病灶形态不规则,3个病灶可见毛刺征,21个病灶边界清晰,10个病灶边界欠清。术前超声明确诊断为乳腺淋巴瘤1例,诊断正确率仅为4.5%,诊断为乳腺癌9例(40.9%)、乳腺脂肪肉瘤1例(4.5%)、乳腺病1例(4.5%),乳腺纤维瘤1例(4.5%),误诊率为54.5%,性质待定者9例(40.9%)。结论：乳腺淋巴瘤的超声表现具有一定特征,但超声误诊率较高,充分认识其超声表现、实际操作中细心谨慎以及密切结合临床,可提高超声诊断的准确率。
[Abstract]:Objective: to summarize the ultrasonic findings of breast lymphoma and analyze the causes of misdiagnosis of ultrasound in order to improve the correct diagnosis rate of breast lymphoma. Methods: the ultrasonic findings of breast lesions in 22 patients with breast lymphoma confirmed by operation and pathology from November 2009 to December 2014 were analyzed retrospectively and the causes of misdiagnosis were analyzed. Results among 22 cases, 31 lesions were found as localized lesions in breast, 17 cases were single lesions, 5 cases were multiple lesions, 31 lesions showed hypoechoic, aspect ratio was less than 1, and no calcification was found in 31 lesions. Blood flow signals can be detected inside, Among them, 25 lesions showed rich blood flow signal, 27 lesions had enhanced echo, 3 lesions had no change, 1 lesion had echo attenuation, 29 lesions had oval or lobular shape, 2 lesions had irregular shape and 3 lesions had irregular shape. Spurs were seen in 21 lesions and unclear boundaries in 10 lesions. One case of breast lymphoma was diagnosed by ultrasonography before operation, the correct diagnosis rate was only 4.5%, 9 cases were diagnosed as breast cancer and 40.9%, 1 case with mammary liposarcoma and 4.5%, 1 case with mammary gland disease, 1 case with mammary fibroma, 1 case with fibroadenoma, the misdiagnosis rate was 54.5%, and 9 cases with undetermined nature were 40.9%. Conclusion: the ultrasonic findings of breast lymphoma have some characteristics, but the rate of ultrasonic misdiagnosis is high, and the accuracy of ultrasonic diagnosis can be improved by fully recognizing its ultrasonic manifestations, careful and careful in practical operation and combining closely with clinical practice.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R445.1;R737.9

【相似文献】