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作 者:高兴 谢景来 邱珺 陈海燕 王军[2] GAO Xing;XIE Jing-lai;Qiu Jun(Department of Ultrasound,Heyuan People’s Hospital Affiliated to Jinan University,Heyuan 517000,China)
机构地区:[1]河源市人民医院,517000 [2]暨南大学附属河源医院超声科,517000
出 处:《中国实用医药》2020年第7期4-6,共3页China Practical Medicine
摘 要:目的分析腋下副乳腺超声声像图与病理对照,提高对腋下副乳腺的超声诊断率。方法回顾性分析经病理证实的84例腋下副乳腺的声像图表现,并与病理结果进行对照。结果病理诊断为副乳腺62例,其中双侧为38例。镜下显示组织中见结构正常的导管、小叶及纤维结缔组织。超声诊断准确41例,准确率为66.1%;病理诊断为副乳腺腺病12例,其中双侧为6例。镜下显示副乳腺小叶内末梢导管数目增多,小叶内间质纤维组织增生挤压周围组织形成假包膜。超声诊断准确11例,准确率为91.7%;病理诊断为副乳腺并慢性化脓性炎症3例,镜下显示脂肪组织中见乳腺小叶及导管,淋巴细胞及中性粒细胞浸润。超声诊断准确2例,准确率为66.7%;病理诊断为副乳腺合并纤维囊性增生症3例,镜下显示:脂肪组织中见乳腺小叶及导管,导管扩张并见分泌物。超声诊断准确1例,准确率为33.3%;病理诊断为副乳腺合并纤维腺瘤1例,镜下显示:脂肪组织中见乳腺小叶及导管,并可见纤维组织,部分导管受挤压形成不规则裂隙状。超声诊断准确1例,准确率为100.0%。结论副乳腺具有一定的声像图特征,掌握其特点可以提高超声对副乳腺的诊断。Objective To comparatively analyze the ultrasonography and pathology of axillary accessory breast, so as to improve ultrasonic diagnosis rate of axillary accessory breast. Methods The ultrasonography of 84 cases of axillary accessory breast confirmed by pathology were analyzed retrospectively and compared with the pathological results. Results Pathological results showed 62 cases of accessory breast, of which 38 cases were bilateral. Microscope showed normal structured ducts, leaflets and fibrous connective tissue. Ultrasound diagnosis was accurate in 41 cases, with an accuracy rate of 66.1%;pathological diagnosis of paramammary adenopathy was 12 cases, of which 6 cases were bilateral. Microscope showed the number of terminal ducts in the lobules of the accessory mammary gland increased, and the proliferation of interstitial fibrous tissue in the lobules squeezed the surrounding tissue to form a pseudocapsule. The accuracy of ultrasonography was 91.7% in 11 cases, and 3 cases were pathologically diagnosed as accessory breast with chronic suppurative inflammation. Ultrasound diagnosis was accurate in 11 cases, with an accuracy rate of 91.7%. Pathological results showed 3 cases of accessory breast with chronic suppurative inflammation, and microscope showed breast lobules and ducts, lymphocytes and neutrophils were seen in the adipose tissue. Ultrasound diagnosis was accurate in 2 cases, with an accuracy rate of 66.7%. Pathological results showed 3 cases of accessory breast with fibrocystic hyperplasia, and microscope showed lobules and ducts of mammary gland in adipose tissue, and ducts were dilated and secretions were seen. Ultrasound diagnosis was accurate in 1 case, with an accuracy rate of33.3%. Pathological results showed 1 case of accessory breast with fibroadenoma, and microscope showed that there are lobules and ducts in the adipose tissue, and some ducts are compressed to form irregular fissures. Ultrasound diagnosis was accurate in 1 case, with an accuracy rate of 100.0%. Conclusion Accessory breast has
分 类 号:R445.1[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学]
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