非哺乳期乳腺炎与乳腺癌的超声影像学表现及鉴别价值  

Ultrasound imaging manifestations and diagnostic value of non-lactation mastitis and breast cancer

作　　者：毕卓芳 邱飞[1] 叶茂清[2] 李桂梅[1] 

机构地区：[1]广东省肇庆市四会市人民医院超声科,广东肇庆526200 [2]广东省肇庆市四会市人民医院药剂科,广东肇庆526200

出　　处：《广州医科大学学报》2017年第2期69-71,共3页Academic Journal of Guangzhou Medical University

摘　　要：目的:分析非哺乳期乳腺炎与乳腺癌的超声影像学表现及鉴别价值。方法:选取本院50例非哺乳期乳腺炎与40例乳腺癌患者为研究对象,均行灰阶超声与多普勒超声检查,超声影像学资料与病理资料完整,并经手术或病理活检证实。由2名有经验的超声医师根据超声图像进行分析并作出诊断,统计诊断符合率。分析非哺乳期乳腺炎与乳腺癌的超声影像学表现。结果:50例非哺乳期乳腺炎患者超声确诊46例,符合率为92.00%;40例乳腺癌患者超声确诊32例,符合率为80.00%。非哺乳期乳腺炎患者超声表现为肿块形态不规则、边界不清或欠清、低或更低回声斑、微小钙化、腋窝淋巴结结构清晰、血流信号分级0-Ⅱ级;乳腺癌患者超声表现为肿块形态不规则、可见毛刺、回声低而不均匀、砂粒样钙化、腋窝淋巴结紊乱甚至消失、血流信号Ⅱ-Ⅲ级。结论:非哺乳期乳腺炎与乳腺癌的超声影像学表现具有明显的特点,可指导临床鉴别诊断,但应避免完全依赖超声诊断。Objective： To determine the ultrasound imaging manifestations and diagnostic value of non- lactation mastitis and breast cancer. Methods： Fifty patients with non-lactation mastitis and 40 patients with breast cancer were included as the subjects in the study. All patients underwent gray-scale and Doppler ultrasound examination. The ultrasound imaging data and pathological data were complete, and were confirmed by surgery or pathological biopsy. Analysis and diagnosis were performed by two experienced ultrasound imaging physicians according to the ultrasound images, and the diagnostic accuracy rate was statistically analyzed. The uhrasound imaging manifestations of non-lactation mastitis and breast cancer were analyzed. Results ： Among 50 cases with non-lactation mastitis, 46 cases were confirmed by ultrasound, and the coincidence rate was 92.00%. Among 40 cases with breast cancer, 32 cases were confirmed by ultrasound, and the coincidence rate was 80.00%. The ultrasound manifestations of non-lactation mastitis showed masses with irregular shapes, unclear or less clear boundaries, low or lower hypoechoic plaques, microcalcification, axillary lymph nodes with clear structures and grade 0-Ⅱ blood flow signal. The ultrasound imaging manifestations of breast cancer showed masses with irregular shapes, visible burr, low and inhomogeneous echo, grit calcification, axillary lymph node disorder or even disappearance and grade Ⅱ-Ⅲ blood flow signal. Conclusion：The ultrasound imaging manifestations of non- lactation mastitis and breast cancer show significant characteristics, which can guide clinical differential diagnosis, but entirely dependence on the ultrasound diagnosis should be avoided.

关 键 词：非哺乳期乳腺炎 乳腺癌 超声 鉴别诊断 

分 类 号：R737[医药卫生—肿瘤]