乳腺不可触及肿物超声引导下定位的分析
|
摘要
目的:探讨乳腺不可触及肿物超声引导下定位的临床价值。方法:对2008年该院收治住院100例乳腺不可触及肿物的患者进行超声引导下导丝定位,并切除。结合手术后病理组织学诊断进行分析。结果:二维图像上乳腺癌在形态、边界、周围组织结构、内部回声、声影、微钙化等均有其特征性改变;彩色多普勒上乳腺癌的血流信号以2～3级为主。超声引导下定位切除的131个变中,良性病变122个,其中硬化性腺病14个,硬化性腺病伴纤维瘤形成69个,导管内乳头状瘤8个,纤维瘤24个,腺肌上皮瘤2个,腺病单纯囊肿局部性炎性3个,积乳囊肿2个;恶性病变9个,其中囊肿伴淋巴浸润癌1个,导管原位癌2个,浸润性导管癌4个,浸润性小叶癌2个。结论:乳腺不可触及肿物的超声引导下导丝定位是一种安全的方法,有助于提高乳腺良、恶性肿瘤的诊断与鉴别诊断,为临床诊断提供有价值依据。
Objective:To explore the clinical value of ultrasound-guided location of breast untouchable breast masses.Methods:One hundred patients with untouchable breast masses who were treated in the hospital in 2008 underwent ultrasound-guided location with guide wires,and the masses were resected;postoperative histopathological diagnosis was analyzed.Results:Characteristic changes of morphology,boundary,adjacent tissue,inner echo,sound shadow,and microcalcification were displayed by two-dimensional ultrasound;color Doppler ultrasound showed that the signals of blood flow of breast cancer were mainly grade 2-3;among 131 masses resected,122 masses were benign,including 14 masses of sclerosing adenosis,69 masses of sclerosing adenosis,8 masses of formed with fibroma intraductal papilloma,24 masses of fibroma,2 masses of glandular muscle epithelial tumor,3 masses of adenopathy simple cysts local inflammatory,and 2 masses of accumulate breast cyst;and 9 masses were malignant,including one mass of cyst with lymphatic infiltrating carcinoma,2 masses of ductal carcinoma in situ,4 masses of infiltrating ductal carcinoma,and 2 masses of infiltrating lobular carcinoma.Conclusion:Ultrasound-guided location of breast untouchable breast masses is a safe method,which is helpful to improving the diagnosis and differential diagnosis of benign and malignant breast tumors,which can provide valuable basis for clinical diagnosis.
Objective:To explore the clinical value of ultrasound-guided location of breast untouchable breast masses.Methods:One hundred patients with untouchable breast masses who were treated in the hospital in 2008 underwent ultrasound-guided location with guide wires,and the masses were resected;postoperative histopathological diagnosis was analyzed.Results:Characteristic changes of morphology,boundary,adjacent tissue,inner echo,sound shadow,and microcalcification were displayed by two-dimensional ultrasound;color Doppler ultrasound showed that the signals of blood flow of breast cancer were mainly grade 2-3;among 131 masses resected,122 masses were benign,including 14 masses of sclerosing adenosis,69 masses of sclerosing adenosis,8 masses of formed with fibroma intraductal papilloma,24 masses of fibroma,2 masses of glandular muscle epithelial tumor,3 masses of adenopathy simple cysts local inflammatory,and 2 masses of accumulate breast cyst;and 9 masses were malignant,including one mass of cyst with lymphatic infiltrating carcinoma,2 masses of ductal carcinoma in situ,4 masses of infiltrating ductal carcinoma,and 2 masses of infiltrating lobular carcinoma.Conclusion:Ultrasound-guided location of breast untouchable breast masses is a safe method,which is helpful to improving the diagnosis and differential diagnosis of benign and malignant breast tumors,which can provide valuable basis for clinical diagnosis.
引文
1周翔,张青萍.浅表组织器官超声诊断的若干进展(J).中国超声医学杂志,2000,16(4):310～312
2刘君,黄红梅,刘吉凤et al.乳腺肿块二维及彩色多普勒诊断与病理基础研究分析(J).中国超声医学杂志,2001,17(12):928
3夏罕生,刘利民,顾勇主et al.乳腺肿块灰阶超声图像分析(J).上海医学影像杂志,2002,11(3):183～184
4 Adler DD,Carson PL,Rubin JM et al.Doppler ultrasoundcolor flow imaging in the study of breast cancer:Preliminaryfindings(J).Ultrasound Med Biol,1990,16:553～559
5朱庆莉,姜玉新,孙强et al.乳腺癌彩色多普勒血流显像的多因素分析(J).中华超声影像学杂志,2006,15(2):111
6李铁,龚柳燕,卓睿.X线立体定位导丝引导活检术对乳腺微小病灶诊断临床价值(J).广西中医学院学报,2009,12(2):30
7杨清峰,胡彬.色素标记乳腺小肿瘤术前定位27例报告(J).安徽医学,2001,26(5):54
2刘君,黄红梅,刘吉凤et al.乳腺肿块二维及彩色多普勒诊断与病理基础研究分析(J).中国超声医学杂志,2001,17(12):928
3夏罕生,刘利民,顾勇主et al.乳腺肿块灰阶超声图像分析(J).上海医学影像杂志,2002,11(3):183～184
4 Adler DD,Carson PL,Rubin JM et al.Doppler ultrasoundcolor flow imaging in the study of breast cancer:Preliminaryfindings(J).Ultrasound Med Biol,1990,16:553～559
5朱庆莉,姜玉新,孙强et al.乳腺癌彩色多普勒血流显像的多因素分析(J).中华超声影像学杂志,2006,15(2):111
6李铁,龚柳燕,卓睿.X线立体定位导丝引导活检术对乳腺微小病灶诊断临床价值(J).广西中医学院学报,2009,12(2):30
7杨清峰,胡彬.色素标记乳腺小肿瘤术前定位27例报告(J).安徽医学,2001,26(5):54