首页|超声乳腺影像报告和数据系统联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤

超声乳腺影像报告和数据系统联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤

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目的 观察超声乳腺影像报告和数据系统(BI-RADS)联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤(PTB)的价值.方法 回顾性分析74例经乳腺超声检查及术后病理证实的PTB女性患者共76个病灶,包括良性57个、交界性14个及恶性5个,比较3种病变患者年龄及其超声BI-RADS分类,观察以单一年龄、超声BI-RADS及其联合鉴别诊断价值.结果 良性、交界性及恶性PTB之间,患者年龄及超声BI-RADS分类差异均有统计学意义(P=0.026、0.015).以44.5岁、超声BI-RADS 4B类及其联合鉴别良性与交界性/恶性PTB的敏感度分别为94.74%、36.84%及73.68%,特异度分别为56.36%、87.27%及72.73%,曲线下面积分别为0.769、0.649及0.780.结论 超声BI-RADS分类联合患者年龄有助于鉴别良性与交界性/恶性PTB.
Ultrasound breast imaging reporting and data system combined with patients'age for differentiating benign and borderline/malignant phyllodes tumor of breast
Objective To observe the value of ultrasound breast imaging reporting and data system(BI-RADS)combined with patients'age for differentiating benign and borderline/malignant phyllodes tumor of breast(PTB).Methods Data of 74 female patients with 76 breast ultrasound diagnosed PTB,including 57 benign,14 borderline and 5 malignant ones confirmed by postoperative pathology were retrospectively analyzed.The patients'age and ultrasound BI-RADS classification were compared among benign,borderline and malignant PTB,and the values of age and BI-RADS classification alone and their combination for differentiating benign and borderline/malignant PTB were observed.Results Significant differences of patients'age and ultrasound BI-RADS classifications were found among benign,borderline and malignant PTB(P=0.026,0.015).The sensitivity of patient's age of 44.5 years,ultrasound BI-RADS 4B and their combination for differentiating benign and borderline/malignant PTB was 94.74%,36.84%and 73.68%,respectively,with specificity of 56.36%,87.27%and 72.73%,respectively,and the area under the curve of 0.769,0.649 and 0.780,respectively.Conclusion Ultrasound BI-RADS combined with patients'age was helpful for differentiating benign and borderline/malignant PTB.

breast neoplasmsphyllodes tumorultrasonographybreast imaging reporting and data systemage

唐敏、郑小雪、李雪、宋建琼

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达州市中心医院超声医学科,四川达州 635000

达州市中心医院临床医学研究中心,四川达州 635000

乳腺肿瘤 叶状瘤 超声检查 乳腺影像报告和数据系统 年龄

2024

中国医学影像技术
中国科学院声学研究所

中国医学影像技术

CSTPCD北大核心
影响因子:0.763
ISSN:1003-3289
年,卷(期):2024.40(4)
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