超声对典型与非典型乳腺髓样癌的诊断及病理学的对比分析  

Comparative analysis of ultrasonographic and appearances of typical and atypical breast medullary carcinoma

作　　者：彭丽春[1] 王芳[1] 赵秀芬[1] 

机构地区：[1]复旦大学附属中山医院肿瘤中心B超室,200052

出　　处：《上海医学影像》2005年第1期13-14,16,共3页Shanghai Medical Imaging

摘　　要：目的研究乳腺髓样癌超声及组织学表现并探讨超声在鉴别典型与非典型髓样癌中价值。方法回顾分析了19名共19个病灶手术证实的髓样癌组织学及超声图象表现从而进行比较分析,评估两者之间的联系。结果19例中的11例为非典型髓样癌,8例为典型髓样癌。8例典型髓样癌中有6例见光滑的边界,而11例非典型者无一例可见到。11例非典型中10例在超声上可见锯齿状边界,而1例可见边缘区域性不规则。4例典型髓样癌都有后方增强效应,8例非典型者可见肿瘤后方声影。典型与非典型髓样癌肿瘤边界规则性差别具有明显的统计学意义。结论典型与非典型髓样癌的治疗及预后有所不同,超声能提高两者之间的鉴别诊断。Objective To investigate the relationship between the sonographic and histologic appearances of breast medullary carcinoma, and to determine the value of sonography in the differentiation of typical and atypical breast medullary carcinoma. Methods We retrospectively reviewed ultrasonographic appearances of 19 cases of breast medullary carcinoma which were confirmed by pathology. Results Eight of 19 medullary carcinomas were classified as typical and 11 were atypical. On sonography,a smooth outline was visualized in 6 of the 8 typical medullary carcinomas but in none of 11 atypical carcinomas. A jagged margin was sonographically visualized in 10 of 11 atypical carcinomas, and a focal irregularity in the margin was visualized in 1 of the 11 atypical carcinomas. Four of the typical medullary carcinomas had posterior enhancement, and 8 of the atypical medullary carcinomas showed retrotumoral shadowing. The difference of tumor margin regularity between typical and atypical medullary carcinomas was statistically significant. Conclusions Treatment and prognosis of typical and atypical medullary carcinomas are different. Ultrasonography is useful in the differential diagnosis of typical and atypical medullary carcinomas.

关 键 词：非典型髓样癌 超声图象 诊断 乳腺髓样癌 癌肿瘤 治疗 病理学 对比分析 组织学表现 回顾分析 

分 类 号：R737.9[医药卫生—肿瘤] R736.1[医药卫生—临床医学]