超声综合参数在乳腺叶状肿瘤和纤维腺瘤鉴别诊断中的价值-影像医学与核医学专业论文.docxVIP

广州 广州医科大学硕士学位论文 PD PDF pdfFactory HYPERLINK / ABSTRACT The value of ultrasound parameters in the differential diagnosis of phyllodes tumor and fibroadenoma of breast Master of Medical Imaging Nuclear Medicine Candidate : Chen qi-lu Supervisor : Prof. Tang qing 【Objective】To investigate the value of ultrasonic multi-parameter analysis of the differential diagnosis of breast phyllodes tumor and fibroadenoma to further enhance the awareness of breast phyllodes tumor. 【Methods】Retrospective analysis of our hospital 60 cases confirmed by pathology phyllodes tumors and 120 patients with fibroadenoma clinical data, ultrasound and pathological manifestations, CDFI flow spectrum parameters were analyzed, focusing on the two-dimensional ultrasound. 【Results】The mean age of PTB and FA patients were 44.3 ± 13.3,27.7 ± 5.1 years old. 60 cases of patients with PTB benign in 36 cases, 14 cases of borderline and malignant in 10 cases. The control group of 120 cases of patients with FA. Compared with fibroadenoma, phyllodes tumor volume of the group is significantly larger tumor area significantly thinner skin(P 0.05). Cystic degeneration in phyllodes tumor group and in the group of fibroadenoma detection rates were 30% and 1.8% (P 0.05). Color Doppler flow comparison, phyllodes tumor group all detected flow signals (60/60), the fibroadenoma group flow signal detection rate of 79.2% (95/120), where I flow signals the two groups were detected in 26.7% (16/60) and 45% (54/120) (P 0.05). Class II flow signals were detected in 63.3% (38/60) and 32.5% (39/120) (P 0.05) in the phyllodes tumor group and fibroadenoma group; class III flow signals in the two groups were detected in 10% (6/60) and 1.7% (2/120) (P 0.05). Class I and Class III 5 flow signal detection rate was no significant difference in the two groups, the detection rate of the II level flow signals in the two groups difference was statistically significant. Borderline and malignant phyllodes tumor is more abundant than hea