乳腺腺样囊性癌的超声诊断

发布时间：2018-05-29 00:08

  本文选题：乳腺肿瘤 + 腺样囊性癌　； 参考：《中国超声医学杂志》2017年06期

【摘要】：目的探讨超声在乳腺腺样囊性癌(ACCB)诊断中的应用价值。方法回顾性分析在本院行超声检查并经病理证实的9例ACCB患者的超声声像图特征及病理组织学资料。结果 9例ACCB病灶均为单发,纵横比1,7例为类椭圆形,2例呈分叶状;均表现为边界欠清晰的囊实性结节,其中6例为实性为主型,病灶最大径均值1.43cm,3例为囊性为主型,病灶最大径均值3.17cm;彩色多普勒显示ACCB血流信号以Ⅰ~Ⅱ级为主(8/9),为分布于病灶边缘并向内部走行的条状血流或病灶实性成分内的点状血流;病理上6例为筛状型,3例为实体型,其中5例行ER、PR、Ki67、Her-2检测,ER、PR、Her-2均为阴性,1例Ki67为阳性。结论乳腺单发的囊实性结节,并以实性为主型多见,伴有自病灶边缘穿入的条状血流,可能为ACCB较具特征性的超声表现;本研究ACCB病理上以筛状型多见,ER、PR、Her-2为三阴性表达。
[Abstract]:Objective to evaluate the value of ultrasonography in the diagnosis of adenoid cystic carcinoma of the breast (ACCB). Methods the ultrasonographic features and histopathological data of 9 patients with ACCB confirmed by pathology were analyzed retrospectively. Results the lesions of 9 cases of ACCB were single and 7 cases of aspect ratio were ellipsoid in 2 cases, all of them showed cystic solid nodules with unclear boundary, including 6 cases of solid nodules, and 3 cases of cystic lesions with the mean maximum diameter of 1.43 cm ~ (-1). The mean maximum diameter of the lesion was 3.17 cm, the color Doppler showed that the blood flow signal of ACCB was mainly 鈪，

本文编号：1948725