乳腺癌超声BIRADS分级与病理分型及免疫组化的比较分析.docVIP

李U提癌超声BI—RADS分级与翩分型及免麵七的比 拗析 2018-03-21 10:12:00中国现代医生2018年2期 何颖韬周海萍谢丽丹李颖陈方红杨伟斌 ［摘耍］鬥的比較分析乳腺癌超声BI-RADS分级与病理分型及免疫组化之间的关系。方法随 机选取2014年12月?2016年12月间我院收治的乳腺癌患者62例作为研宂对象，对62例患者的 63个乳腺癌肿块的超声表现进行分析，并根裾BI-RADS分级评估乳腺癌肿块，术后对标本进行病例 组织学分类，分析免疫组化指标、超声表现两者间的相关性。结果62例患者屮，单侧多发1例， 单侧单发61例。62例乳腺癌患者的63个肿块中3个(4.76%) 3级，14个(22.22%) 4级，46 个(73.02%) 5级;62例乳腺癌患者的63个肿块的位置，38个(60.32%)左乳、25个(39.68%) 右乳。其中49个(77.78%)浸润性导管瘤，5个(7.94%)导管内癌，3个(4.76%)黏液腺癌，2 个(3.17%)乳头状癌、3个(4.76%)浸润性小叶癌，1个(1.59%)鱗摘；49个浸润性导管瘤中 奋39个为5级，6个为4级，4个为3级，5个导管内癌屮4个为5级，1个为4级，3个浸润性小 叶癌中2个为5级1个为4级，2个乳头状癌和1个鱗癌均为5级，3个黏液腺癌为4级。结论BI-RADS 分级分析乳腺肿块的恶性特征准确性高，乳腺癌超声BI-RADS分级与病理分型及免疫组化间有相关 性，BI-RADS分级能够对乳腺肿块的恶性特征进行比较准确的分析，能够力乳腺癌的临床治疗提供 依据，确定有效的治疗方案，在乳腺癌的诊断中应用价值较髙。 ［关键词］乳腺癌超声；BI-RADS分级；病理分型；免疫组化 ［巾阁分类号］R445.1 ［文献标识码］B ［文章编号】1673-9701 (2018) 02-0096-04 ［Abstract］ Objective To compare the relationship between ultrasound BI-RADS classification and pathological classification, immunohistochemistry in breast cancer. Methods 62 patients with breast cancer admitted in our hospital from December 2014 to December 2014 were randomly selected. The ultrasonographic findings of 63 breast cancer masses in 62 patients were analyzed and assessed according to BI-RADS classification. The specimens were classified by histology after surgery. The relationship between the immunohistochemical indicators and manifestations of ultrasound was analyzed. Results Of the 62 patients, 1 case was unilateral and 61 cases were unilateral. There were 3 cases of grade 3 (4.76%) , 14 cases of grade 4 (22.22%) and 46 cases of grade 5 (73.02%) of the 63 masses in 62 patients with breast cancer. There were 38 cases of left breast (60.32%) and 25 cases of right breast (39.68%) in the positions of the 63 masses in 62 patients with breast cancer. Among them， there were 49 cases of invasive ductal carcinoma (77.78%) , 5 cases of intraductal carcinoma (7.94%) , 3 cases of mucinous adenocarcinoma (4.76%) t 2 cases of papillary carcinoma (3.17%) , 3 cases of invasive lobular carcinoma