乳腺硬化性腺病与浸润性导管癌的超声特征对比研究  

Comparison of US imaging characteristics in sclerosing adenosis and breast invasive ductal carcinoma

作　　者：高秀丽[1] 朱新平[1] 顾俊毅[1] 陆林国[1] 宋树良[1] 

机构地区：[1]同济大学附属东方医院超声科,上海200120

出　　处：《医学影像学杂志》2014年第9期1496-1498,1503,共4页Journal of Medical Imaging

摘　　要：目的对照乳腺早期浸润性导管癌,比较研究乳腺硬化性腺病的超声表现特点。方法研究组为我院病理确诊为乳腺硬化性腺病患者41例,对照参考组为病理确诊浸润性导管癌患者21例,对比分析两组患者的超声表现。结果通过对两组患者的常规及超声影像特征比较,我们发现乳腺硬化性腺病与乳腺浸润性导管癌在Alder分级、腋窝淋巴结肿大及钙化灶表现方面有显著的统计学差异(P<0.05)。结论乳腺肿块建议二维超声与CDFI结合诊断,其中Alder分级及部分超声影像学指标在乳腺硬化性腺病与浸润性导管癌鉴别诊断中有一定价值。Objective To evaluate and summarize the ultrasonic imaging （US） findings of sclerosing adenosis, and to compare with those of Invasive ductal carcinoma of the breast. Methods We retrospectively studied 41 cases of sclerosing adenosis （observation group） and 21 cases of breast invasive ductal carcinoma （control group） confirmed by pathology in our hospital. All patients underwent US before surgery, the US features and pathological findings were reviewed. Results There were statistical differences in the Alder grades, lymph node metastases and calcification clusters （ P〈0.05） be- tween sclerosing adenosis and breast invasive ductal carcinoma. Conclusion Although there is no typical ultrasound critera for diagnosis SA, Two dimensional uhrasonography and CDF1 are important. Typicaly, some idex of the US findings may be used for diagnosing sclerosing adenosis.

关 键 词：超声诊断 乳腺硬化性腺病 浸润性导管癌 

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]