超声造影对早发性乳腺癌的诊断价值  

Diagnostic Value of Contrast-enhanced Ultrasonography in Early-onset Breast Cancer

作　　者：张庆坤[1] 冷晓玲[1] 张芬[1] 马富成[1] 

机构地区：[1]新疆医科大学附属肿瘤医院超声诊断二科,乌鲁木齐市830011

出　　处：《中国超声医学杂志》2015年第4期305-307,共3页Chinese Journal of Ultrasound in Medicine

基　　金：国家自然科学基金(No.81260332)

摘　　要：目的探讨早发性乳腺癌的超声造影声像图特征,评价超声造影对早发性乳腺癌的诊断价值。方法将病理证实的142例乳腺癌患者按照年龄分为两组,A组:≤35岁,51例;B组:>35岁,91例。患者术前均行常规超声及超声造影检查并对声像图特征进行对比分析。结果 A组乳腺癌病灶与B组相比较以病灶大、纵横比小、高回声晕少、内部回声多不均匀、后方衰减少、造影后病灶增大不明显、快进快退、无造影剂滞留为特点,差异具有统计学意义(P<0.05);两组在形态、边界、毛刺征或蟹足征、钙化灶、病灶内部血流丰富程度、增强效果、血管形态、造影剂分布、充盈缺损等方面差异无统计学意义(P>0.05)。结论超声造影检查对早发性乳腺癌诊断具有重要的临床意义。Objective Explore contrast-enhanced ultrasonography features of early onset breast cancer,to evaluate the diagnostic value of contrast enhanced ultrasonography in early-onset breast cancer.Methods The pathologically confirmed 142 cases of breast cancer were divided into two groups according to age,A group：＜35 years old,51 cases; Group B：＞35 years old,91 cases.All patients underwent routine preoperative ultrasound and contrast-enhanced ultrasonography and sonographic features were analyzed.Results Breast cancer compared with group B to group A,showed bigger lesion,a smaller aspect ratio,high-echo halo less,more common uneven internal echo,rarer rear attenuation and contrast-enhanced after lesions increase is not obvious,fast forward retreat quickly,without contrast agents were stranded,The difference is statistically significant （P＜0.05） ; Two groups of shape,boundary,burr sign or crab sign,calcification,internal lesions blood richness,enhancement effect,blood vessels form,distribution of contrast agent,filling defect etc.There was no statistically significant difference （P＞0.05）.Conclusions CEUS has important clinical implications for the diagnosis of early-onset breast cancer.

关 键 词：乳腺肿瘤 超声造影 早发性 

分 类 号：R445.1[医药卫生—影像医学与核医学]