高频彩超诊断小体积恶性乳腺叶状肿瘤的临床价值  

Clinical value of high frequency color ultrasonography in the diagnosis of small volume malignant phyllodes tumor of the breast

作　　者：李岩松[1] 蔡湘丽[1] 胡克林[2] 

机构地区：[1]山东省青岛市市立医院超声科,266071 [2]新疆医科大学第一附属医院超声科,新疆乌鲁木齐830054

出　　处：《蚌埠医学院学报》2017年第1期97-98,101,共3页Journal of Bengbu Medical College

基　　金：新疆维吾尔自治区自然科学基金项目(517809413)

摘　　要：目的:探讨高频彩超诊断小体积恶性乳腺叶状肿瘤(PTB)的临床应用价值,提高对PTB的认识。方法:选取经手术病理确认的20例PTB女性患者,同时所有患者均行高频彩色多普勒超声检测。结果:20例患者中,5例患者的肿瘤为分叶状,14例为椭圆形,1例为不规则形状;18例患者的肿瘤边界清晰,2例不清晰;内部回声衰减0例,不变5例,增强15例;6例患者发生囊性变;2例患者出现钙化现象;彩色多普勒血流显像显示所有患者均能探测到血流信号,其中Ⅰ级9例,Ⅱ级7例,Ⅲ级4例;收缩期峰值流速的平均值为(19.35±6.50)cm,阻力指数为0.72±0.04;20例PTB的病理类型为:良性9例,交界性5例,恶性6例;血流信号等级与PTB病理分型并无明显对应关系。结论:高频彩超诊断小体积恶性PTB,能够显示清晰的具有特征性的彩超声像图,为临床鉴别诊断及选择恰当的治疗方案提供了较好的临床参考。Objective： To explore the clinical value of high frequency color uhrasonography in the diagnosis of phyllodes tumor of the breast（ FFB）, and improve the understanding of the disease. Methods：Twenty small volume malignant PTB female patients diagnosed by pathology were examined using high frequency color ultrasonography. Results： Among 20 PTB patients, 5 cases tumors were lobular, 14 cases tumors were oval,and 1 case tumor was irregular. The boundary of tumor in 18 cases were clear,and 2 cases were unclear. The attenuation, unchanged and enhancement of the internal echo of tumor were 0 case ,5 cases and 15 cases, respectively. The cystic change in 6 cases and calcification in 2 cases were found. The results of color Doppler flow imaging showed that the blood flow signals in all patients could be detected,which included class Ⅰ in 9 cases,class Ⅱ in 7 cases and class Ⅲ in 4 cases. The average of the systolic peak velocity and resistance index of blood flow in 20 cases were （ 19.35 ± 6.50 ） cm and （ 0. 72 ± 0.04 ） , respectively. The pathological types of 20 cases included benign tumor in 9 cases, borderline tumor in 5 cases and malignant in 6 cases. There was not significant corresponding relationship between the blood flow signal class and PTB pathological type. Conclusions：The high frequency color ultrasonography can clearly display the characteristic sonogram of the small volume malignant PTB, which can provide the high clinical value in the differential diagnosis and selecting appropriate clinical treatment program for tumor.

关 键 词：彩超 乳腺叶状肿瘤 彩超声像图 血流信号 

分 类 号：R455.1[医药卫生—运动医学]