乳腺典型髓样癌与非典型髓样癌的超声诊断分析.pdfVIP

● 一50一 ．临床研究． 乳腺典型髓样癌与非典型髓样癌的超声诊断分析 张秀娟，林礼务，陈志奎，薛恩生，何以敉，俞丽云 摘要：目的探讨高频彩色多普勒超声对乳腺髓样癌的诊断价值。方法56例乳腺髓样癌患者，均为女性，年龄25～87 岁．平均年龄50．92岁；其中典型髓样癌35例，非典型髓样癌21例。患者手术前行乳腺超声检查，先用灰阶超声观察肿 块的部位、大小、形态、边界、内部回声、有无钙化、后方回声增强或衰减，再启用彩色多普勒血流显像(CDFI)检查肿块的 血流信号，频谱多普勒分析肿块血流阻力指数(RI)，最后检查腋窝淋巴结有无肿大。结果乳腺髓样癌发生于左侧乳腺者 样癌的2．52cm(P0．05)。与非典型髓样癌比较，典型髓样癌形态较规则、边界较清楚、内部回声较均匀．多伴后方回声增强， 钙化较少见。乳腺髓样癌血液供应多较丰富。该组32例典型髓样癌、18例非典型髓样癌进行了CDFI检查，血流Ⅱ／Ⅲ级者分 边界、回声均匀与否，有无钙化及后方回声增强等超声表现明显不同，术前高频彩色多普勒超声检查具有重要诊断价值。 关键词：髓样癌；乳腺；彩色多普勒超声；诊断 中图分类号：R737．9：R445．1 文献标识码：A of and breast carcinoma ultrasoundZHANG Li—wu， Analysistypicalatypicalmedullary diagnosedby Xiu-juan．LIN CHEN Zhi-kui，XUE Yi—mi，YU Ultrasound,Union En-sheng，HE Li-yun(Departmentof Hospitalof喇i帆Medical University,Fuzhou350001，删i伽，China) author．LIN Li—．wu．E-mail：llwus@163．con Corresponding To the valueof ultrasoundonbreast Abstract：Objective highfrequency medullary investigatediagnostic Atotalof56femalebreast carcinomawere 25—87 50．92 old，mean medullary patientsenrolled，agedyears age yearsold．Thirty-five were and21were ofthemreceived ultrasoundexamination．Themass typical atypical．All preoperative location，size，shape， blood and echowereobserved modeultrasound．Aftermass echo，calcification that,the boundary，internal posterior bygray—scale detectedcolor flow theresistance wasmeasu