87例乳腺癌磁共振成像特点分析.docxVIP

? ? 87例乳腺癌磁共振成像特点分析 ? ? 李英　　贾海明　　白文辉　　李宗龙 [Summary] 目的 探讨乳腺癌磁共振成像的特点及临床意义。 方法 选取2019年1—12月青海红十字医院经病理诊断明确的乳腺癌患者，回顾性分析磁共振成像特点，对病灶形态学特征及血流动力学特征进行分析，进一步明确乳腺癌磁共振成像特点。 结果 87例患者共96个病灶，浸润性癌83例，原位癌13例，病灶最大径14 cm，最小径0.3 cm。肿块样强化84个，非肿块样强化12个。时间强度曲线上升型1个，平台型49个，流出型46个。早期强化79个，中晚期强化17个。ADC值1.6×10-3 mm2/s的有1个，ADC值≤1.6×10-3 mm2/s且1.25×10-3 mm2/s的有32个，ADC值≤1.25×10-3 mm2/s的有63个。 结论 磁共振成像可显示病灶的形态学特征和血流动力学特征，与时间-强度曲线、病灶强化时间及ADC值比较，对乳腺癌的诊断具有重要意义。 [Key] 乳腺癌;动态增强;磁共振成像;特点 [] R737.9;R445.2? ? ? ? ? [] B? ? ? ? ? [] 1673-9701（2021）09-0125-04 Analysis of magnetic resonance imaging characteristics of 87 cases of breast cancer LI Ying? ?JIA Haiming? ?BAI Wenhui? ?LI Zonglong Department of Breast， Qinghai Red Cross Hospital， Xi′ning? ?810000， China [Abstract] Objective To explore the characteristics and clinical significance of magnetic resonance imaging of breast cancer. Methods Breast cancer patients who were pathologically diagnosed in Qinghai Red Cross Hospital from January to December 2019 were selected. The characteristics of magnetic resonance imaging was retrospectively analyzed. The morphological and hemodynamic characteristics of the lesion were analyzed. And the characteristics of breast cancer magnetic resonance imaging was further clarified. Results There were 96 lesions in 87 patients， including 83 lesions of invasive carcinoma， 13 lesions of carcinoma in situ. The largest diameter of the lesion was 14cm， and the smallest diameter was 0.3cm. There were 84 tumor-like enhancements and 12 non-tumor-like enhancements. There was one time-intensity curve ascending type， 49 platform type， and 46 outflow type. Seventy-nine were strengthened in the early stage， and 17 were strengthened in the middle and late stages. There was one lesion of ADC value1.6×10-3 mm2/s， 32 lesions of ADC value≤1.6×10-3 mm2/s and1.25×10-3 mm2/s， and 63 lesions of ADC value≤1.25×10-3 mm2/s. Conclusion Magnetic resonance imaging can show the morphological and hemodynamic characteristics of the lesion. Compari