乳腺导管内乳头状瘤-影像学技术的选择  

Intraductal papilloma of the breast-the selection of imaging techniques

作　　者：王聪聪[1] 林青[1] 崔春晓[1] 苏晓慧[1] 李丽丽[1] WANG Congcong;LIN Qing;CUI Chunxiao;SU Xiaohui;LI Lili(Department of Breast Imaging,The Affiliated Hospital of Qingdao University,Qingdao 266100,Shandong Province,China)

机构地区：[1]青岛大学附属医院乳腺影像科,山东青岛266000

出　　处：《肿瘤影像学》2020年第2期121-126,共6页Oncoradiology

基　　金：国家重点研发计划重大慢性非传染性疾病防控研究重点专项(2016YFC1303004)。

摘　　要：目的:对比分析评估数字乳腺断层摄影(digital breast tomosynthesis,DBT)、数字乳腺X线摄影(digital mammography,DM)及超声检查对乳腺导管内乳头状瘤(intraductal papilloma,IDP)的应用价值。方法:回顾并分析567例经术后病理学检查证实的乳腺IDP患者的临床资料,共696个病灶,以美国放射学会(American College of Radiology,ACR)的乳腺影像报告和数据系统(Breast Imaging Reporting and Data System,BI-RADS)为诊断标准,比较DBT、DM及超声检查对乳腺IDP的检出率及诊断符合率的差异。结果:DBT较DM、超声较DBT、超声较DM对IDP的检出率(60.6%vs44.7%;99.0%vs 60.6%;99.0%vs 44.7%)及诊断符合率(51.3%vs 39.4%;80.2%vs 51.3%;80.2%vs 39.4%)均较高,差异均有统计学意义(P<0.05)。结论:对于IDP及致密型乳腺组织中IDP的检出及影像学征象,超声为首选检查,但DBT作为一种新兴的DM技术同样具有一定价值。Objective:To evaluate the value of the diagnostic accuracy and detection rate of digital breast tomosynthesis(DBT),digital mammography(DM),and ultrasonography(US)in intraductal papilloma(IDP)of the breast.Methods:To retrospectively analyze imaging findings from 567 cases with 696 lesions of IDP confirmed by pathology.The imaging findings were evaluated according to the Breast Imaging Reporting and Data System(BI-RADS)of the American College of Radiology(ACR)by comparing the differences in the detection rates and diagnostic accuracies among the three techniques for all lesions.Results:For this study,comparison of DBT with DM,US with DBT,and US with DM gave the following results:for the detection rate,60.6%vs 44.7%,99.0%vs 60.6%,and 99.0%vs 44.7%,respectively;and for diagnostic accuracy,51.3%vs 39.4%,80.2%vs 51.3%,and 80.2%vs 39.4%,respectively,of IDP,and the differences were statistically significant.Conclusion:US is the first examination for the detection and imaging signs of the IDP and the IDP in the dense breast,but DBT has great value in the diagnosis of IDP as a new technique.

关 键 词：导管内乳头状瘤 超声检查 数字乳腺断层摄影 检出率 诊断符合率 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]