非肿块型乳腺单纯性导管内癌声像图特征及病理学相关分析

发布时间：2018-01-04 15:15

本文关键词：非肿块型乳腺单纯性导管内癌声像图特征及病理学相关分析　出处：《山东大学学报(医学版)》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨非肿块型乳腺单纯性导管内癌声像图特征,并行病理学相关分析。方法收集2014年9月至2016年6月32例非肿块型乳腺单纯性导管内癌的声像图,分析其病灶的边缘、内部回声、局部腺体增生、微钙化及病灶内血流阻力指数(RI)等,同时行病理学分析。结果 32例非肿块型乳腺单纯性导管内癌中常表现为乳腺腺体局部增生明显,内回声强弱不等,如"豹纹征"或"斑马纹征",彩色多普勒可见病灶内较丰富的血流信号,RI0.7,偶可见单纯乳导管扩张,病灶内偶可见微钙化灶。非肿块型乳腺单纯性导管内癌中高级别导管内癌占多数。结论非肿块型乳腺单纯性导管内癌常表现为乳腺腺体局部增生明显,内回声强弱不等;病理学类型常为高级别导管内癌;彩色多普勒及RI的测量可以辅助诊断非肿块型乳腺单纯性导管内癌。
[Abstract]:Objective to investigate the sonographic features of simple intraductal carcinoma of breast without mass. Methods from September 2014 to June 2016, 32 cases of simple intraductal carcinoma of the breast without mass were analyzed by ultrasonography, and the edge and internal echo of the lesions were analyzed. Local glandular hyperplasia, microcalcification and intratumoral blood flow resistance index (RI) were also analyzed. Results in 32 cases of simple ductal carcinoma of breast without tumor, local hyperplasia of mammary gland was frequently observed. The intensity of internal echo varied, such as "leopard sign" or "zebra sign", color Doppler can be seen in the focus of a relatively rich blood flow signal, occasionally simple dilatation of mammary duct. Microcalcification is occasionally seen in the lesions. High grade intraductal carcinoma is the majority of non-mass simple intraductal carcinoma. Conclusion Non-mass simple ductal carcinoma of breast is usually characterized by local hyperplasia of mammary gland. The intensity of internal echo is different; The pathological type is usually high grade intraductal carcinoma. Color Doppler and RI measurements can assist in the diagnosis of non-mass simple intraductal carcinoma of the breast.
【作者单位】：山东大学临床医学院;山东大学附属千佛山医院超声诊疗科;泰山医学院;山东大学附属千佛山医院病理科;
【分类号】：R445.1;R737.9
【正文快照】： 网络出版地址:http://kns.cnki.net/kcms/detail/37.1390.R.20170504.0956.002.html乳腺导管内癌是指肿瘤局限于乳腺导管系统,未侵犯基底膜和周围间质阶段的乳腺癌。以往乳腺导管内癌的诊断多依赖钼靶X-线,近年来由于乳腺超声检查技术的进步,越来越多的乳腺导管内癌在检查中被

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