乳腺导管内癌及其微浸润与乳腺浸润性导管癌的超声及病理特征

发布时间：2018-03-03 14:30

本文选题：乳腺导管内癌　切入点：乳腺浸润性导管癌　出处：《海南医学》2017年10期 　论文类型：期刊论文

【摘要】：目的分析乳腺导管内癌(DCIS)、乳腺导管内癌伴微浸润(DCIS-MI)与乳腺浸润性导管癌(IDC)的超声及病理特征。方法回顾性分析2014年9月至2016年9月入住我院实施手术且术后病理检查确诊为乳腺癌的170例患者的超声检查结果及病理特征。结果 IDC组患者的淋巴转移率为45.85%,明显高于DCIS组患者的3.92%和DCIS-MI组患者的4.26%,差异均有统计学意义(P0.05);DCIS-MI组患者在病灶形态、边缘、周边毛刺、回声类型、有无钙化及周边组织血流情况方面与DCIS组、IDC组比较差异均有统计学意义(P0.05);DCIS-MI组患者粉刺型比例为76.71%,明显高于DCIS组的46.81%和IDC组和58.33%,差异均有统计学意义(P0.05);DCIS-MI组患者的C-erb B-2阳性率为62.75%,明显高于DCIS组的57.45%和IDC组的41.67%,差异均有统计学意义(P0.05)。结论 DCIS、DCIS-MI和IDC三者存在不同的超声表现及病理特征,临床上可以此为依据进行疾病的诊断及分型,以便为患者提供更加准确有效的治疗。
[Abstract]:Objective to analyze the ultrasonographic and pathological features of intraductal carcinoma of the breast (DCIS-MIA) and invasive ductal carcinoma of breast (IDC). Methods from September 2014 to September 2016, the patients admitted to our hospital from September 2014 to September 2016 were retrospectively analyzed. Results the lymphatic metastasis rate in IDC group was 45.85, which was significantly higher than that in DCIS group (3.92% cases) and DCIS-MI group (4.26%). Edge, peripheral burr, echo type, In terms of calcification and peripheral blood flow, there was significant difference between DCIS group and DCIS group. The proportion of acne type in DCIS-MI group was 76.71, which was significantly higher than that in DCIS group (46.81%, IDC and 58.33g). The difference was statistically significant in C-erb of DCIS-MI group. The positive rate of B-2 was 62.75, which was significantly higher than that in DCIS group (57.45%) and IDC group (41.67%), and the difference was statistically significant (P 0.05). Conclusion DCIS-MI and IDC have different ultrasonographic and pathological features. In order to provide more accurate and effective treatment for patients, the diagnosis and classification of diseases can be carried out on the basis of clinical diagnosis.
【作者单位】：重庆三峡中心医院超声科;
【分类号】：R445.1;R737.9

【相似文献】