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乳腺肿瘤超声诊断与病理结果对照分析

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目的探讨乳腺肿瘤超声图像特点与病理诊断的关系,以提超声对乳腺肿块的定性诊断价值。方法对我院2009年1月-2013年1月间72例乳腺肿块患者的超声图像特点与病理结果进行回顾性分析。结果72例患者中,术前经超声诊断良性病变29例,术后病理证实,良性病变35例,超声诊断符合率82.9%。术前经超声诊断恶性病变43例,术后病理证实,良性病变40例,超声诊断符合率93%。结论乳腺良性肿瘤超声表现为形态规则,边界清晰,内部呈<br>  中等偏低或者等回声,回声较均质,后方不伴声影,其内少见钙化;CDFI内无血流或较少,表现为低速连续血流,一般流速小于13cm /s。恶性肿瘤表现为形态不规则,边界模糊,呈毛刺状、“蟹足”状或分叶状改变,无包膜或包膜不完整,内部呈明显低回声且内回声不均质,多见条状,点状及簇状钙化,后方衰减明显;CDFI其内常见穿心状血流,表现为脉动血流,流速大于25cm /s,乳腺肿瘤超声图像的形状、边缘、内部回声及血流对乳腺肿瘤良、恶性鉴别方面具有有重要参考价值。
Objective to discuss the ultrasonic image characteristics and breast tumor pathological diagnosis, the relationship between to ultrasonic value of qualitative diagnosis of breast lumps.Methods from January 2009 to January 2009 between the ultrasonic image characteristics of 72 patients with breast lumps and pathological results were retrospectively analyzed. Results of 72 cases of patients, preoperative ultrasound diagnosis of benign lesions 29 cases, postoperative pathology confirmed benign lesions in 35 cases, ultrasound diagnosis coincidence rate 82.9%.Preoperative ultrasound diagnosis of 43 cases of malignant change, postoperative pathology confirmed benign lesions 40 cases, ultrasound diagnosis coincidence rate 93%.Conclusions the sonographic manifestations in breast benign tumor morphological rules, clear boundary, internal echo such as moderate to low or, echo is relatively homogeneous, the rear is not associated with acoustic shadow, its rare calcification;No or less blood flow inside of a CDFI, characterized by low speed continuous flow, average flow velocity is less than 13 cm/s.Malignancies characterized by irregular shape, fuzzy boundaries, the burr, the crab foot "or lobulated change, no envelope or incomplete capsule, internal is obviously low echo and echo heterogeneity, see more stripe, dot, and clusters of calcification, rear attenuation is obvious;Of a CDFI wear heart blood flow, its common expression is pulsating blood flow, velocity is greater than 25 cm/s, the shape of the breast tumor ultrasound images, edge, internal echo and blood flow of benign and malignant breast tumor identification has important reference value.

tumor of breastcolor Dopplerpathological diagnosis

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内蒙古呼伦贝尔市人民医院肿瘤外科 021000

乳腺肿瘤 彩色多普勒 病理诊断

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(26)
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