声学造影在乳腺导管内肿瘤良恶性鉴别中的价值

发布时间：2018-05-27 11:10

本文选题：声学造影 + 导管内肿瘤　；参考：《中国超声医学杂志》2016年10期

【摘要】：目的探讨声学造影在乳腺导管内肿瘤良恶性鉴别中的价值。方法回顾性分析30例我院收治的乳腺导管内肿瘤(包括导管内乳头状瘤、导管内原位癌及导管内乳头状癌)的常规超声、病理及声学造影的特点,比较良恶性肿瘤之间的差异。重点关注造影前后病灶径线的改变。结果病灶的大小、生长方向、主体回声、边缘、形状、周围导管扩张、病灶内钙化以及彩色多普勒显示的血流情况,在导管内乳头状瘤与导管内癌(包括原位癌和乳头状癌)两组之间,差异无统计学意义。而造影后两组病灶径线均较造影前增大,导管内癌的径线增大明显,两组之间出现显著差异(P0.05)。结论声学造影有助于鉴别导管内肿瘤的良恶性,导管内恶性肿瘤造影后径线明显增大。
[Abstract]:Objective to evaluate the value of contrast-enhanced ultrasonography in differentiating benign and malignant breast intraductal tumors. Methods 30 cases of breast intraductal tumors (including intraductal papilloma, intraductal carcinoma in situ and intraductal papillary carcinoma) were analyzed retrospectively. Focus on the focus before and after the change of the lesion line. Results the size, growth direction, main echo, edge, shape, surrounding ductal dilatation, calcification in the lesion and blood flow in color Doppler were observed. There was no significant difference between intraductal papilloma and intraductal carcinoma (including carcinoma in situ and papillary carcinoma). However, the diameter of lesions in the two groups was larger than that before angiography, and the diameter of intraductal carcinoma was obviously increased, and there was a significant difference between the two groups (P 0.05). ConclusionContrast-enhanced contrast echocardiography is helpful in differentiating benign and malignant intraductal tumors, and the diameter of intraductal malignant tumors is significantly increased after contrast echocardiography.
【作者单位】：中山大学孙逸仙纪念医院超声科;
【分类号】：R445.1;R737.9

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