乳腺非典型增生的综合影像学表现  

Imaging features of digital mammography and sonography on mammary atypical hyperplasia

作　　者：林翠君[1] 李丽红[1] 陈惠莲[1] 易智君[1] 黄柏锋[1] 

机构地区：[1]广东省惠州市中心人民医院放射科,516008

出　　处：《国际放射医学核医学杂志》2015年第3期216-219,共4页International Journal of Radiation Medicine and Nuclear Medicine

摘　　要：目的：探讨乳腺非典型增生数字化乳腺X线摄影及彩色多普勒超声检查的影像学表现。方法回顾性分析64例经手术病理证实为乳腺非典型增生并同时进行了数字化乳腺X线摄影检查及乳腺彩色多普勒超声检查的患者资料，分析其综合影像学特征。结果在64例乳腺非典型增生的患者中，经乳腺X线摄影检查阳性的患者为8例（彩色多普勒超声检查为阴性）；经彩色多普勒超声检查阳性的患者为7例（乳腺X线摄影检查为阴性）；经以上2项检查均阳性的患者为46例、均阴性的为3例（但触诊可触及肿块）。乳腺X线摄影、彩色多普勒超声及2项检查联合应用的准确率分别为84．4%、82．8%和95．3%。结论综合数字化乳腺X线摄影检查及彩色多普勒超声检查影像学表现并结合临床触诊，全面评估以提高乳腺非典型增生的诊断水平，有效降低乳腺癌的发生率。Objective To assess the imaging features of mammary atypical hyperplasia. Methods Sixty-four histologically confirmed mammary atypical hyperplasia cases were imaged using mammography and ultrasonography, and their imaging features were retrospectively studied. Results A total of 8 cases with 84.4%diagnostic rate were mammography positive and ultrasonography negative;7 cases with 82.8%diagnostic rate were ultrasonography positive and mammography negative;46 cases with 95.3%diagnostic rate were all mammography and ultrasonography positive; and 3 cases were all mammography and ultrasonography negative but with palpable lesions. Conclusion This study showed that clinical detection and diagnosis of mammary atypical hyperplasia require comprehensive imaging.

关 键 词：乳腺非典型增生 乳房X线摄影术 超声检查 多普勒 彩色 

分 类 号：R730.44[医药卫生—肿瘤] R737.9[医药卫生—临床医学]