超声对乳腺恶性肿瘤的诊断.pptVIP

* Company Logo  The earlier a tumor is identified, the better chance for cure 阿桑，台湾女歌手，因罹患乳癌 于2009病逝，年仅34岁。 本文档共25页；当前第1页；编辑于星期三\18点23分 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 本文档共25页；当前第2页；编辑于星期三\18点23分 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. 本文档共25页；当前第3页；编辑于星期三\18点23分 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 本文档共25页；当前第4页；编辑于星期三\18点23分 Subcutaneous layer Mammary layer Retromammary layer Subcutaneous layer Retromammary layer composed of Fat and Connective tissue 本文档共25页；当前第5页；编辑于星期三\18点23分 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 本文档共25页；当前第6页；编辑于星期三\18点23分 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 本文档共25页；当前第7页；编辑于星期三\18点23分 Pregnant Female The breast proliferate remarkably in both density and volume 妊娠期女性乳腺显著增生 本文档共25页；当前第8页；编辑于星期三\18点23分 Elder Female The breast tissue becomes progressively replaced with fat 老年期乳腺逐渐脂肪化 本文档共25页；当前第9页；编辑于星期三\18点23分 How to Scan The breast is divided into four quadrant?: Upper Outer Quadrant(UOQ), Upper Inner Quadrant (UIQ), Lower Outer Quadrant (LOQ), Lower Inner Quadrant (LIQ), Check these four quadrant in a clockwise direction and then scan nipple(乳头) and oxter（腋下） 本文档共25