乳腺黏液癌的超声图像及造影特征与病理对照分析  

Ultrasonography and Contrast-enhanced Ultrasound of Breast Mucinous Carcinoma with Pathology

作　　者：王小燕[1] 韦海明[2] 康利克[1] 蓝春勇[1] 贺琰[1] 裴华洁[1] 董小圆[1] 

机构地区：[1]广西壮族自治区人民医院超声科,南宁市530021 [2]广西壮族自治区人民医院病理科,南宁市530021

出　　处：《中国超声医学杂志》2012年第3期217-220,共4页Chinese Journal of Ultrasound in Medicine

基　　金：广西科学研究与技术开发计划项目(No.桂科攻0592007-2c)

摘　　要：目的观察乳腺黏液癌的超声图像及超声造影特征,探讨该技术对乳腺黏液癌的诊断价值。方法对11例乳腺黏液癌患者的超声图像特征及血流动力学进行观察,选用SonoVue超声造影剂,对其中4例进行实时超声造影,对肿块的高频超声图像及造影增强形态、强度及造影时间-强度曲线特征进行了观察,并与病理进行了对照分析。结果乳腺黏液癌高频超声具有特征性图像、大体可分为3型,Ⅰ型:混合回声肿块型,声像图表现肿块内回声不均,强弱不等,见实性肿块及较大范围散在的低-无回声区;Ⅱ型:散在小蜂窝状肿块型,混合性肿块可表现为低回声区的肿块内回声不均,内见散在小无回声区,呈小蜂窝状;Ⅲ型:实性肿块型,可表现为边界欠规则的稍低回声及近等回声肿块,内部回声欠均匀。超声造影表现为造影剂进入较少,且造影剂分布不均,呈低至中等度的回声增强。结论乳腺黏液癌超声图像及超声血流动力学具有特征性表现,并与病理学基础有关,两者结合能提高诊断符合率。Objective To observe the ultrassonogrphy and contrast-enhanced ultrasound（CEU） characteristic of mucinous carcinoma of the breast（MCB）. Methods 11 cases of MCB were observed by ultrasound,4 of them using color doppler real-time contrast. The high frequency ultrasound pattern, enhancement form, intensity and the time-in- tensity curve of lump were observed. The results were correlated with pathology. Results The pattern of MCB high frequency ultrasound was divided into 3 types： Ⅰ Mixed lump,a solid mass with a wide range of low or no echo area around the lump; Ⅱ Favaginous lump, a low echo mixed bump with heterogeneous,small and dark areas ,like a honey- comb; Ⅲ Solid lump which manifested low or equal level and heterogeneous echo of indistinct irregularity boundary. The CEU appeared heterogeneous and low or equal enhancement, and less entrance in most cases. Conclusions The manifestation of ultrasound pattern and CEU for MCB were characteristic correlated. The combination of them could improve the rate of diagnosis accuracy.

关 键 词：乳腺黏液癌 超声图像 超声造影 病理学 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]