超声对乳腺导管原位癌的早期诊断价值  

Early diagnostic value of ultrasonography in ductal carcinoma in situ of the breast

作　　者：周敬勉 黄枢[1] 姚丽婷[1] 吴静 ZHOU Jingmian;HUANG Shu;YAO Liting;WU Jing(Department of Ultrasound Medicine, The 174th Hospital of Chinese PLA, Xiamen 361000, Fujian Province, China)

机构地区：[1]中国人民解放军第174医院超声医学科

出　　处：《肿瘤影像学》2019年第3期161-164,共4页Oncoradiology

摘　　要：目的:探讨超声早期诊断乳腺导管原位癌(ductal carcinoma in situ,DCIS)的临床价值。方法:选取2015年8月-2017年3月间中国人民解放军第174医院收治的接受超声检查的56例乳腺导管原位癌患者,回顾性分析超声声像图特征,探讨超声对乳腺导管原位癌的诊断价值。结果:超声对乳腺导管原位癌的诊断率为51.79%,其中肿块型16例(28.57%),增生型21例(37.50%),导管型15例(26.79%),单纯微钙化型4例(7.14%)。结论:超声作为一种无创且短期内可重复检查的重要手段,在早期诊断乳腺导管原位癌中价值较高,但易与乳腺良性疾病混淆,需结合多种方式联合检查以提高诊断准确率。Objective: To investigate the clinical value of ultrasonography in the early diagnosis of ductal carcinoma in situ (DCIS) of the breast.Methods: A total of 56 cases of breast DCIS hospitalized in The 174th Hospital of Chinese PLA from Aug.2015 to Mar.2017 were selected.All the patients underwent ultrasound examination.The data were retrospectively analyzed to investigate the diagnostic value of ultrasonography.Results: The detection rate of ultrasound was 51.79%,with mass type in 16 cases (28.57%),hyperplastic type in 21 cases (37.50%),ductal type in 15 cases (26.79%),and simple microcalcification type in 4 cases (7.14%).Conclusion: As a noninvasive and repeatable examination in short term,ultrasonography has high value in the early diagnosis of DCIS.But the ultrasonographic features of DCIS are easily confused with those of breast benign diseases,so ultrasonography should be combined with multiple means to improve the accuracy of diagnosis.

关 键 词：乳腺癌 乳腺导管原位癌 超声检查 诊断 临床价值 

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]