乳腺单纯型黏液癌的超声与病理对照分析研究.pdfVIP

·1094 · ·全科医生技能发展· 乳腺单纯型黏液癌的超声与病理对照分析研究 武秀兰，郭 莉，张连花，贾志莺，马富成 【摘要】 目的 通过对照乳腺单纯型黏液癌（P-MC）的超声声像图表现及病理学特性，分析其超声检出率低 的原因。方法 回顾性分析2007—2013年于新疆医科大学附属肿瘤医院经手术和病理证实为P-MC 的6 例患者（共 73 个病灶）的超声及病理资料，分析其超声声像图特征及病理特性。结果 超声诊断P-MC的检出率为46.6% （34/ 73），误诊率为 3.4% （39/ 73），其中误诊为乳腺纤维腺瘤的占21.9% （16/ 73），P-MC病理显示肿块边界清楚，含 大量细胞外黏液，肿瘤细胞稀少，生长缓慢。结论 P-MC是乳腺黏液癌的一个亚型，其特殊的病理学特性是超声误 诊的客观原因。 【关键词】 乳腺肿瘤；超声检查，多普勒，彩色；病理学；病理状态，体征和症状 【中图分类号】R737.9 【文献标识码】B doi：10.3969/ j.issn.1007 -9 72.201 .09.028 武秀兰，郭莉，张连花，等. 乳腺单纯型黏液癌的超声与病理对照分析研究［J］. 中国全科医学，201 ，18 （9）：1094 -1097. ［］ Wu XL，Guo L，Zhang LH，et al.Ultrasonography and pathology analysis of pure mucinous breast carcinoma ［J ］. Chinese General Practice，201 ，18 （9）：1094 -1097. Ultrasonography and Pathology Analysis of Pure ucinous Breast Carcinoma WUXiu -lan，GUO Li，ZHANG Lian - hua，et al.Department of Ultrasound，Tumor HospitalAffiliated toXinjiang Medical University，Urumqi830011，China 【Abstract】 Objective To investigate the reason of low sensitivity of pure mucinous carcinoma of breast （P-MC）to ultrasound by analyzing its ultrasonographic and pathological features. ethods Ultrasonographic and pathological data of 6 P-MCpatients （73 lesions）confirmed by surgery and pathological study in Tumor Hospital Affiliated to Xinjiang Medical University from 2007 to 2013 were retrospectively analyzed，and the ultrasonographic and pathological features were analyzed.Results The sensitivity and misdiagnosis rate of ultrasonography in diagnosing P -MC was 46.6% （34/ 73 ）and 3.4% （39/ 73），respectively，and 21.9% （16/ 73 ）of the patients were misdiagnosed as benign lesion （fibroadenoma）. Pathological study showed that P -MC had clear edge and abundant extracellular mucus，and the carcinoma cells was few and with a slow growth.Conclusion P -MC is a subtype of mucinous carcinoma of breast，and its pathological specificity is an important reasonfor the m