高频彩超在社区乳腺癌筛查中对“三早”的应用价值与前景  

Application value and prospect of high-frequency color ultrasonic in community breast cancer screening of “three early”

作　　者：王竞宇[1] 张恩荣[1] 彭利[1] 何莲[1] 文强[1] 罗雪[1] 

机构地区：[1]成都市龙泉驿区第一人民医院超声科,四川成都610100

出　　处：《中国医药导报》2013年第30期134-137,共4页China Medical Herald

摘　　要：目的探讨高频彩超在乳腺癌筛查中对早发现、早诊断、早治疗（“三早”）的应用价值与前景及随诊意义。方法应用高频彩超对2011年1月～2013年7月成都市龙泉驿区第一人民医院在门诊、体检中心及仁爱社区服务中心的适龄女性10039例进行乳腺癌筛查，观察其声像图特点，对病变者进行BI—RADS及血流Adler分级；对可疑恶性肿块选择性超声造影。对要求定期复查的可疑患者每3N6个月进行复检随访。结果10039例中共检出乳腺疾病1921例，占19．13％。1921例行BI—RADS分级：其中1级3例，占0．16％；2级832例，占43．31％；3级910例，占47．37％；4级150例，占7．81％；5级26例，占1．35％。对34例肿块进行了Adler血流分级：其中3级4例，占11．77％；4级20例，占58．82％；5级10例，占29．41％。对怀疑恶性肿块选择性超声造影10例，富血管肿块（快进快出）9例，乏血管肿块1例（慢进慢出）。1921例乳腺疾病手术病理证实116例，良性肿块73例，占3．80％（73／1921）；恶性肿块43例占2．24％（43／1921）。术前超声明确倾向恶性肿块26例，手术结果证实25例，超声诊断符合率96．15％（25，26）。结论高频彩超在社区乳腺癌筛查中有利于早发现、早诊断、早治疗，且简便、易行、安全，适合大规模体检，具有重要的应用价值与广阔前景。Objective To study the value, prospect and follow-up meaning of high-frequency color ultrasonic in breast cancer screening of early finding, early diagnosis and early treatment （＂three early＂）. Methods The characteristics of high-frequency color ultrasonic imaging were analyzed retrospectively in 10 039 female patients in outpatient, physical examination and Re-nai community service in the First People＇s Hospital of Longquanyi District in Chengdu City from January 2011 to July 2013, who were classified by BI-RADS and the Adler grade of blood flow; and selectively contrast-enhanced ultrasound was per- formed in suspicious malignant tumor. Those suspected cases were required follow-up of recheck regularly in every three to six months. Results In 10 039 cases, 1921 cases of breast disease were found, the percent was 19.13%. By BI-RADS, among the 1921 cases, 3 cases （0.16%） of level 1, 832 cases （43.31%） of level 2, 910 cases （47.37%） of level 3, 150 cases （7.81%） of level 4, 26 cases （1.35%） of level 5 were found. By Adler grade of blood, among the 34 cases of tumo, 4 cases （11.77%） of level 3, 20 cases （58.82%） of level 4, 10 cases （29.41%） of level 5 were found. 10 cases were selected for contrast-enhanced ultrasound of suspicious malignant tumor, including 9 cases of rich blood vessels in tumors （quick in and fast out） and 1 case of lack of tumor blood vessels in tumor （slow in and slow out）. In 1921 cases of breast disease, 116 cases were confirmed by surgical pathology; including 73 cases （3.80%） of benign breast tumor, 43 cases （2.24%） of malignant tumor. Before the surgeries, 26 cases of malignant tumor were diagnosed by ultrasound clearly; 25 cases were proved in surgery. The ultrasound diagnosing coincidence rate was 96.15% （25/26）. Conclusion High-frequency color ultrasonic in breast cancer screening is a simple, feasible, safe method for large-scale medical examination and beneficial to early finding, early diagno-sis and early treatment, which

关 键 词：高频彩超 乳腺癌 社区筛查 “三早” 价值与前景 

分 类 号：R445.1[医药卫生—影像医学与核医学]