彩色多普勒超声与钼靶X线摄影检查对乳腺黏液癌的诊断价值分析  

Diagnostic value analysis by color Doppler Ultrasonography and molybdenum target mammography to breast mucinous carcinoma

作　　者：黄润生[1] 翁立峰[1] 石海峰[1] Huang Runsheng;Weng Lifeng;Shi Haifeng(Department of Image,Changzhou Second People′s Hospital,Changzhou 213003,China)

机构地区：[1]常州市第二人民医院影像科,213003

出　　处：《中华诊断学电子杂志》2019年第1期17-20,共4页Chinese Journal of Diagnostics(Electronic Edition)

摘　　要：目的分析乳腺黏液癌的超声声像图特点及乳腺钼靶X线摄影检查结果,以提高两种影像检查对乳腺黏液癌的诊断符合率。方法对2010年1月至2017年1月在常州第二人民医院乳腺外科经手术病理确诊的43例乳腺黏液癌患者(共44个病灶)的超声声像图做回顾性分析,记录超声表现,包括肿块数量、大小、边界、形态、内部回声、后方回声及肿块内部是否伴微钙化、腋下淋巴结受累及肿块内部血流情况;钼靶X线摄影检查记录肿块形态、边缘、密度及钙化情况;对比分析超声检查与钼靶X线摄影的诊断符合率。结果 35例术前超声诊断与术后病理诊断符合,超声检查诊断符合率为81. 4%(35/43); 32例术前钼靶X线摄影检查诊断与术后病理诊断符合,乳腺钼靶X线摄影检查诊断符合率为74. 4%(32/43);二者诊断效能差异无统计学意义(χ~2=0. 61,P=0. 43)。93. 0%(40/43)的病例被超声或钼靶X线摄影其中之一检查诊断疑似为恶性; 60. 5%(26/43)病例被术前超声和钼靶X线摄影诊断均疑似恶性。结论超声检查与钼靶X线摄影检查对乳腺黏液癌均具有较高的诊断符合率,二者联合可进一步提高诊断效能;若超声或钼靶X线摄影检查诊断疑似为恶性,应行穿刺活检及组织病理学以明确诊断。Objective To analyze the ultrasonographic features of the breast mutinous carcinoma and results of molybdenum target mammography and improve the coincidence of the two kinds of imaging examinations.Methods The sonographic appearances and pathological features of breast mutinous carcinoma in 43 cases(a total of 44 lesions)collected from the department of breast surgery of Changzhou Second People′s Hospital diagnosed by operation and pathology were analyzed retrospectively.Ultrasonic appearance such as lump quantity,size,boundary,shape,internal echo,rear echo,lump internal microcalcification or not,lump internal blood stream situation,oxter lymph nodes infiltration information were analyzed.Molybdenum target mammography examinations such as lump shape,boundary,density and calcification were recorded.Contrast analysis was carried out to analyze the diagnostic coincidence between ultrasonography and molybdenum target mammography.Results Among the 43 cases with mucinous carcinoma of breast,35 cases′preoperative ultrasonic diagnosis accorded with postoperative pathological diagnosis,ultrasonic diagnostic coincidence was 81.4%(35/43).32 cases′preoperative molybdenum target mammography accorded with postoperative pathological diagnosis,molybdenum target mammographic diagnostic coincidence was 74.4%(32/43).There was no statistically significants in diagnostic efficacy between the two examinations(χ^2=0.61,P=0.43).Among the 43 cases with mucinous carcinoma of breast,40 cases(93.0%,40/43)were suspected malignant by ultrasonography or molybdenum target mammography.26 cases(60.5%,26/43)were suspected malignant by the both two examinations.Conclusions Both ultrasonography and molybdenum target mammography possess higher coincidence to diagnose breast mutinous carcinoma.Combining the two examinations can further elevate coincidence.If ultrasonography or molybdenum target mammography is suspected to maligmant,biopsy and histopathology should be performed to make a definite diagnosis.

关 键 词：乳腺肿瘤 超声检查 多普勒 钼靶X线乳腺摄影 

分 类 号：R737.9[医药卫生—肿瘤]