乳腺恶性肿瘤冠状面汇聚征与临床病理学相关因素分析

发布时间：2018-05-24 03:43

  本文选题：超声检查 + 自动乳腺全容积成像　； 参考：《中国超声医学杂志》2015年07期

【摘要】：目的探讨乳腺恶性肿瘤冠状面"汇聚征"与临床病理学特征间的关系。方法应用自动乳腺全容积成像技术,回顾性分析经手术病理证实的258个乳腺恶性肿瘤病灶的冠状面特征(有无冠状面"汇聚征"),并比较冠状面特征在不同年龄、病灶部位、大小、同侧腋窝淋巴结转移情况、病理类型及分化程度等临床病理学特征间的差异性。结果乳腺恶性肿瘤冠状面"汇聚征"在不同年龄、病灶部位及大小间差异无统计学意义(P0.05);在导管原位癌不同级别(低、中级别及高级别)及浸润性导管癌不同分级(Ⅰ、Ⅱ级及Ⅲ级)间差异无统计学意义(P0.05);浸润性乳腺癌及有同侧腋窝淋巴结转移的冠状面"汇聚征"出现率高于非浸润性乳腺癌及无淋巴结转移(P0.05)。以乳腺恶性肿瘤患者各临床病理学特征为自变量,有无冠状面"汇聚征"为因变量进行Logistic回归分析,浸润性乳腺癌及同侧腋窝淋巴结转移为危险因素(回归系数分别为2.135、0.611;OR值分别为8.454、1.842)。结论乳腺恶性肿瘤冠状面"汇聚征"的出现率与肿瘤的浸润性及有无同侧腋窝淋巴结转移有关,可作为评价乳腺恶性肿瘤生物学行为的一项辅助指标,为临床提供参考依据。
[Abstract]:Objective to investigate the relationship between coronal convergence sign and clinicopathological features of breast malignant tumors. Methods the coronal features of 258 lesions of breast malignant tumors confirmed by surgery and pathology were analyzed retrospectively by using automatic full volume mammography. The coronal features were compared at different age and location. The differences of clinicopathological features, such as size, ipsilateral axillary lymph node metastasis, pathological type and differentiation degree. Results the coronal "convergence sign" of breast malignant tumors had no statistical significance in different age, location and size of lesions, but had different grades (low, middle and high grade) and invasive ductal carcinoma grade (鈪，

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