乳腺癌腋淋巴结转移超声造影模式分析  

Correlation between CEUS and Pathology of Axillary Lymph Node in Breast Cancer

作　　者：李盛妍[1] 胡蓉菲[1] 朱婷[1] 伍珑 车欣 

机构地区：[1]上海复旦大学附属华山北院宝山分院超声科,上海市200431

出　　处：《中国超声医学杂志》2017年第9期779-782,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨乳腺癌腋淋巴结转移的超声造影模式。方法回顾性分析70例乳腺癌患者81个淋巴结超声造影图像,将淋巴结造影模式分为3型,分析不同造影模式类型的病理表现。结果Ⅰ型淋巴结50个,Ⅱ型6个,Ⅲ型25个。其中Ⅰ型内转移淋巴结41个,Ⅱ型1个,Ⅲ型3个。以Ⅰ型为界区分淋巴结有无转移,灵敏度91.1%、特异度75.0%、准确率84.0%。结论乳腺癌淋巴结转移的超声造影模式具有特征性,造影模式的分型有助于淋巴结有无转移的鉴别诊断。Objective To investigate the contrast enhanced ultrasound （CEUS） mode of axillary lymph node me- tastasis in patients with breast cancer in. Methods The CEUS images and pathology of 81 lymph nodes in 70 patients with breast cancer were analyzed. The lymph nodes were divided into three groups according to enhancement mode. Results There were 50 lymph nodes in Mode Ⅰ （41 were metastatic） , 6 in Mode Ⅱ （1 were metastatic） and 25 in Mode Ⅲ（3 were metastatic）. To differential diagnose lymph nodes using the above criterion, the diagnostic sensitivi- ty, specificity and accuracy were 91.1%, 75.0% and 84.0%, respectively. Conclusions The CEUS enhancement mode is characteristic in axillary lymph node metastasis in patients with breast cancer. Mode type dividing is useful to differential diagnosis of lymph node metastasis.

关 键 词：超声造影 乳腺癌 腋淋巴结转移 

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]