乳腺实性神经内分泌癌的超声诊断价值  

The value of ultrasound diagnosis of solid breast neuroendocrine carcinoma

作　　者：刘文虹[1] 李逢生[1] 

机构地区：[1]西安交通大学医学院附属陕西省肿瘤医院超声科,陕西西安710061

出　　处：《现代肿瘤医学》2013年第9期1999-2001,共3页Journal of Modern Oncology

摘　　要：目的:观察乳腺实性神经内分泌癌(neuroendocrine carcinoma,NEC)的超声特征。方法:在随访的584例乳腺癌患者中,结合文献,回顾性分析4例经病理反馈证实的NEC患者的超声表现。结果:4例肿块均为低回声,均无钙化,3例形态规则伴后方回声增强,1例纵/横>1,2例包膜不完整。CDFI血流模式:Ⅰ型血流1例、Ⅱ型血流1例、Ⅲ型血流2例。乳腺影像报告和数据系统(breast imaging reporting and data system,BI-RADS)评分:3级2例(初步确定良性)、4A级1例(良恶性不确定)、5级1例(恶性)。结论:原发性NEC的超声诊断比较困难,缺乏典型恶性肿瘤影像学表现,需与纤维腺瘤或髓样癌等鉴别。Objective：To observe the ultrasound characteristics of solid breast neuroendocrine carcinoma （NEC）.Methods：The ultrasound characteristics of 4 cases of patients with sold breast NEC pathological diagnosis confirmed from the follow-up of 584 cases of breast cancer and combined with literature.Results：There were hypoechoic and without calcification in 4 cases,3 cases of morphological rules associated with the rear of ultrasound echogenic and 1 case of the longitudinal/cross ＞ 1 with incomplete envelope.CDFI blood flow patterns showed 1 case of type Ⅰ blood flow,1 case of type Ⅱ blood flow,2 cases of type Ⅲ blood flow.The results of breast imaging reporting and data system （BI-RADS） were 2 cases of grade 3 （benign）,1 case of grade 4A （benign or malignant） and 1 case of grade 5 （malignant）.Conclusion：The diagnosis of primary NEC ultrasound is difficult because of lack of typical malignant tumor imaging performance and must be identified with fibroadenoma or medullary carcinoma.

关 键 词：乳腺癌 实性神经内分泌癌 超声检查 

分 类 号：R737.9[医药卫生—肿瘤]