乳腺癌腋淋巴结转移超声诊断的研究进展.pdfVIP

《肿瘤影像学》2015 年 第 24 卷第 1 期 Oncoradiology, 2015, Vol.24, No.1 · 63 · ·综述· 乳腺癌腋淋巴结转移超声诊断的研究进展 邵洁 综述　王怡 审校 复旦大学附属华山医院超声医学科，上海 200040 　　 【摘要 】　腋淋巴结的性质是乳腺癌患者临床诊疗方案选择的重要依据，也是重要的预后指标。研究显示，腋淋 巴结清扫术给患者带来许多并发症，因此对淋巴结的性质进行术前评估非常有必要。近年来，超声技术不断发展，高 频高分辨率超声已成为临床评估淋巴结性质的首选手段。本文分别对二维灰阶超声、彩色多普勒超声、声弹性成像及 超声造影成像技术进行详细阐述，将超声在淋巴结性质诊断方面的理论研究及应用进展进行综述，为淋巴结性质鉴别 及临床诊断提供理论依据。 　　 【关键词 】　乳腺癌；腋淋巴结；超声 　　中图分类号：R445.1　　文献标志码：A　　文章编号：1008-617X(2015)01-0063-04 Advances in ultrasound diagnosis of breast cancer axillary lymph node SHAO Jie, WANG Yi (Department of Ultrasound, Huashan Hospital, Fudan University, Shanghai 200040, China) Correspondence to: WANG Yi E-mail: y_wang1111@ Abstract Axillary lymph node status remains the most important prognostic factor in the patients with breast cancer 　　 【 】 and is helpful in therapeutic decisions regarding adjuvant treatment. According to researches, there are many complications in the patients who receive axillary lymph node dissection, so preoperative evaluation of lymph node is really important. With the rapid development in ultrasonic technology, high frequency and high resolution ultrasound has become the preferred method for clinical assessment of lymph nodes. The present paper focuses on gray-scale ultrasound, color-Doppler ultrasound, acoustic elastgraphy and contrast-enhanced ultrasound. The advances in application of ultrasound in theoretical study and diagnosis of lymph nodes are reviewed to provide basis for identifying the nature and clinical diagnosis of lymph nodes. Key words Breast cancer; Axillary lymph node; Ultrasound 　 【 】 　　乳腺癌患者腋淋巴结性质是临床诊疗方 样”，与肾脏极为相似，四周表现为皮质的 案选择的重要依据，也是患者重要的预后指 低回声，正中则表现为淋巴门及髓质的高回 标 [1] 。对乳腺癌患者不采用腋淋巴结清扫术能