彩色多普勒超声对乳腺硬化性腺病与浸润性癌的鉴别诊断价值

发布时间：2018-06-25 15:24

本文选题：乳腺硬化性腺病 + 乳腺浸润性癌　；参考：《实用医学杂志》2015年10期

【摘要】：目的:探讨彩色多普勒超声对乳腺硬化性腺病与浸润性癌的鉴别诊断价值。方法:回顾性分析经病理诊断证实的110例乳腺硬化性腺病与102例浸润性癌的超声检查结果,分析其图像特征。结果:硬化性腺病大多表现为形态规则、边界清晰、内部回声均匀、后方回声未见明显改变,彩色多普勒(CDFI)血流分级大多为0~I级,BI-RADS-US分级3级为主。浸润性癌大多表现为形态不规则、边界不清晰、内部回声不均匀、回声内部可见强回声光点、后方回声衰减,CDFI血流分级以Ⅱ~Ⅲ级为主,BI-RADS-US分级5~6级。结论:乳腺硬化性腺病与浸润性癌可通过彩色多普勒超声加以鉴别诊断。
[Abstract]:Objective: to evaluate the value of color Doppler ultrasonography in the differential diagnosis of breast sclerosing adenosis and invasive carcinoma. Methods: the ultrasonographic features of 110 cases of breast sclerosing adenosis and 102 cases of invasive carcinoma confirmed by pathology were analyzed retrospectively. Results: most of sclerosing gonadosis showed regular morphology, clear boundary, homogeneous internal echo, no obvious change of posterior echo, and the color Doppler (CDFI) blood flow classification was mostly BI-RADS-US grade 3. Most invasive carcinomas were characterized by irregular shape, unclear boundary, uneven internal echo, strong echo light spots in the interior of echo, and CDFI blood flow grade of posterior echo attenuation and BI-RADS-US grade 5- 6. Conclusion: breast sclerosing adenosis and invasive carcinoma can be distinguished by color Doppler ultrasound.
【作者单位】：广东省妇幼保健院病理科;广东省妇幼保健院超声科;广东省阳江市人民医院病理科;
【分类号】：R445.1;R737.9

【参考文献】