超声对乳腺恶性肿瘤诊断.pptVIP

What is the top killer of womens health ? Breast Cancer  The earlier a tumor is identified, the better chance for cure Breast cancer with Irregular border边界不规则的乳腺癌 Benign Calcification Eggshell Calcification 蛋壳样钙化 Parallel – wider than tall – long axis parallel to skin NOT parallel – taller than wide – long axis perpendicular to skin Benign tumor with rich blood flow signals 管中窥豹只一斑，叶落难断已秋天。 是峰是岭横侧看，超脱物外也非仙！ Company Logo * 阿桑，台湾女歌手，因罹患乳癌 于2009病逝，年仅34岁。 Ultrasonic Diagnosis of Breast Malignant Tumors乳腺恶性肿瘤的超声诊断 昆明医学院附属昆华医院超声科 尹欣 Breast cancer is the first leading cause of death for women all over the world. In the United States more than 8% women will suffer this disease during their life time. Sonographically, the breast is divided into three layers between the skin and the chest wall.在声像图中，从皮肤至胸壁可将乳腺组织可分为3层。 These layers include : Subcutaneous layer 皮下组织层 Mammary layer 腺体层 Retromammary layer 乳腺后层 Anatomy of the Breast 乳腺的解剖 Subcutaneous layer Mammary layer Retromammary layer Subcutaneous layer Retromammary layer composed of Fat and Connective tissue Parenchymal Patterns The appearance of the glandular elements of the breast vary remarkably from woman to woman and vary within the same woman depending on her stage in life. 女性乳腺的图像在个体间有很 大的差异性，即使是同一人在 不同阶段乳腺的图像也不同 Young Female Fibrous elements predominate and reflects a dense echogenic of tissue 青春期女性乳腺纤维组织较多因而腺体回声细密 Pregnant Female The breast proliferate remarkably in both density and volume 妊娠期女性乳腺显著增生 Elder Female The breast tissue becomes progressively replaced with fat 老年期乳腺逐渐脂肪化 How to Scan The breast is divided into four quadrant?: Upper Outer Quadrant(UOQ), Upp