乳腺分泌型癌的超声征象及病理特征分析.pdfVIP

中国当代医药 2014年11月第21卷第31期 窑影像与介入 窑 乳腺分泌型癌的超声征象及病理特征分析 曾群英1 汤兵辉2 雷秋模3 李 彬1 刘秀娟4 1.江西省遂川县人民医院超声科袁江西遂川 343900曰2.南昌市第三医院超声科袁南昌 330009曰 3.南昌市第三医院袁南昌 330009曰4.井冈山大学附属医院袁江西吉安 343000 [摘要] 目的探讨乳腺分泌型癌的超声表现和临床病理特征遥 方法 回顾性分析14例经术后病理证实的乳腺分 泌型癌的超声和病理表现遥 结果 14例乳腺分泌型癌的灰阶超声显示病灶内部均呈低回声或等回声袁后方回声 稍增强或无改变袁其中7例伴有微小钙化曰9例形态不规则袁5例为椭圆形或类圆形曰边界清晰3例袁边界部分不 清楚 11例曰4例患者伴有同侧腋窝淋巴结异常肿大遥彩色多普勒血流成像显示病灶内见丰富血流者4例袁中等血 流者10例遥BI-RADS超声评估结果显示3类2个袁4A类 1个袁4B类3个袁5类8个遥病理表现大部分为边界清晰 或部分不清的结节状肿块袁 颜色灰白或黄褐色遥 结论乳腺分泌型癌的超声表现依据其病理基础有一定的特征 性袁但无特异性袁须结合穿刺或组织活检及术后病理检查遥 [关键词] 分泌型癌曰乳腺曰超声检查曰病理学 [中图分类号] R445.1 [文献标识码]A [文章编号] 1674-4721渊2014冤11渊a冤-0105-04 Ultrasonographic features and pathological features analysis of the breast withsecretorycarcinoma 1 2 3 1 4 ZENG Qun-ying TANGBing-hui LEI Qiu-mo LI Bin LIUXiu-juan 1.Departmentof Ultrasound,People忆s Hospital of Suichuan County in Jiangxi Pronvince,Suichuan 343900,China;2.De鄄 partment of Ultrasound,the Third Hospital of Nanchang City,Nanchang 330009,China;3.The Third Hospital of Nan鄄 chang City,Nanchang 330009,China;4.Affiliated HospitalofJinggangshan University,Jian 343000,China [Abstract] Objective To explore the ultrasonographic features and pathological features of the breast with secretory carcinoma. Methods Ultrasonography and pathological findings of 14 cases with postoperative secretory carcinoma of breast were retrospectively analyzed. Results Gray scale ultrasound of 14cases with secretory carcinoma of the breast showed the interior of the lesion was low echo or echo,the rear echo was slightly increased or no change,there was 7 cases accompanied with micro calcification;9 cases of irregular shape,5 cases were oval or round,3 cases of