乳腺导管扩张症声像图特征及误诊分析  

Ultrasonic Feature and Misdiagnosis of Mammary Ductal Ectasia

作　　者：魏巍丽[1] 陈志奎[1] 何以敉[1] 林礼务[1] 薛恩生[1] 俞丽云[1] 

机构地区：[1]福建医科大学附属协和医院超声科福建省超声医学研究所,福州市35001

出　　处：《中国超声医学杂志》2013年第12期1075-1078,共4页Chinese Journal of Ultrasound in Medicine

基　　金：福建省卫生厅医学创新课题(No.2012-CXB-15)

摘　　要：目的分析乳腺导管扩张症的声像图表现及误诊情况,以提高术前超声诊断符合率。方法对经病理检查证实的48例乳腺导管扩张症的术前超声检查资料,进行回顾性分析。结果乳腺导管扩张症多见于绝经期前后妇女,超声表现分为实性、囊性、混合性3型,病灶形态多不规则、边界不清楚、回声不均匀、血流信号不丰富、腋窝淋巴结肿大少见。实性型病灶术前超声检查误诊为乳腺癌占45.83%(11/24)、囊性型误诊为乳腺增生症占42.86%(6/14)、混合型误诊为乳腺癌及导管内乳头状瘤者各占30%(3/10)。结论乳腺导管扩张症声像图表现具有一定的特征性,检查者应结合临床资料综合分析,减少术前超声诊断误诊率,提高诊断符合率。Objective To analyze the ultrasound feature and diagnosis of mammary ductal ectasia （MDE） to im prove the diagnostic coincidence rate.Methods To retrospectively analyzed the clinical data of 48 cases of MDE confirmed by pathology.Results MDE mostly occurred in perimenopause females,and the ultrasonic features could be classified as solid,cystic and cystic-solid masses with irregular form,unclear boundary,uneven echo,few blood flow signal and low incidence rate of lymphadenectasis in axillary fossa.45.83% （11/24） solid masses were misdiagnosed as cancer,42.86 % （6/14）cystic masses misdiagnosed as cyclomastopathy,and 30% （3/10） cystic-solid masses misdiagnosed as cancer and intraductal papilloma respectively by preoperative ultrasonography.Conclusions Mammary ductal ectasia displayed certain ultrasonic feature,and the examiner should combine with the clinic closely to improve the diagnostic coincidence rate.

关 键 词：乳腺导管扩张症 超声检查 误诊 

分 类 号：R445.1[医药卫生—影像医学与核医学]