超声乳腺影像报告与数据系统分级在乳腺小肿块诊断中的应用  

Ultrasound Breast Imaging Reporting and Data System Category in the Diagnosis of Small Breast Masses

作　　者：石剑[1] 魏建南[1] 傅建民[1] 陈琮瑛[1] 余蓉[1] 

机构地区：[1]南方医科大学附属深圳市妇幼保健院,广东深圳518028

出　　处：《肿瘤基础与临床》2015年第3期229-231,共3页journal of basic and clinical oncology

基　　金：深圳市科技计划项目(编号:201102093)

摘　　要：目的：探讨超声乳腺影像报告与数据系统（ BⅠ-RADS）分级在乳腺小肿块诊断中的应用价值。方法入组行超声检查且获得病理诊断的604例乳腺小肿块（最大径≤2 cm）患者，术前按BⅠ-RADS分级标准进行描述和分级，评估超声BⅠ-RADS3~5级的阳性预测值。结果604例患者中，超声BⅠ-RADS3、4和5级阳性预测值分别为3.5％（17/483）、20.2％（22/109）、91.7％（11/12），其中≤40岁组的BⅠ-RADS 3和4级的阳性预测值低于＞40岁组（2.4％ vs 7.0％，12.5％ vs 35.1％，P均＜0.05）。结论超声BⅠ-RADS分级能有效预测乳腺小肿块的良恶性，对＞40岁患者的BⅠ-RADS 3和4级乳腺小肿块要更加重视。Objective To evaluate the value of ultrasound breast imaging reporting and data system （BI-RADS） category in the diagnosis of breast cancer. Methods The 604 patients showed small breast masses that categorized BI-RADS 3-5 were pathologically confirmed, the positive predictive value of BI-RADS 3,4, and 5 were calculated. Results Among the 604 patients, the positive predictive value of each BI-RADS category was 3.5% （17/483） in category 3,20.2% （22/109） in category 4,and 91.7% （11/22） in category 5. The positive predictive value of category 3 and 4 in the ≤ 40 years group were lower than those of the 〉 40 years groups （2.4% vs 7.0% ,12.5% vs 35.1%, P 〈0. 05 ）. Conclusion Ultrasound BI-RADS category is useful for predicting malignance of small breast masses, and more attention should be paid to the 〉 40 years group that categorized BI-RADS 3 and 4.

关 键 词：超声 乳腺影像与报告系统 乳腺 小肿块 年龄 

分 类 号：I737.9[文学—其他各国文学] R730.41[医药卫生—肿瘤]