无乳头溢液导管内乳头状瘤的超声图像特征分析  

Ultrasonographic features of intraductal papilloma without nipple discharge

作　　者：陈园园[1] 韩宝三[2] 王丽君[3] 陈方[3] 汤永喆[1] 何奇[1] CHEN Yuanyuan;HAN Baosan;WANG Lijun;CHEN Fang;TANG Yongzhe;HE Qi(Department of Breast Diseases,International Peace Maternity and Child Hospital,Shanghai Jiao Tong University,Shanghai 200030,China)

机构地区：[1]上海交通大学医学院附属国际和平妇幼保健院乳腺科,上海市200030 [2]上海交通大学医学院附属新华医院普外科,上海市200030 [3]上海交通大学医学院附属新华医院放射科,上海市200030

出　　处：《临床超声医学杂志》2021年第2期152-154,共3页Journal of Clinical Ultrasound in Medicine

基　　金：上海交通大学医工(理)交叉基金项目(YG2019QNA08)。

摘　　要：目的总结无乳头溢液导管内乳头状瘤的超声图像特征。方法回顾性分析我院62例(73个病灶)经病理确诊的导管内乳头状瘤超声图像,根据有无扩张导管、结节,以及扩张导管与结节的关系将病灶分为Ⅰ~Ⅴ型5型,分析各型声像图特点。结果73个病灶中,Ⅰ型27个,Ⅱ型11个,Ⅲ型30个,Ⅳ型3个,Ⅴ型2个;超声对各型的诊断准确率分别为88.9%、90.9%、40.0%、0、0;总体超声诊断准确率为63.0%。结论通过总结无乳头溢液导管内乳头状瘤声像图特征有助于提高其超声诊断准确率。Objective To investigate the ultrasonographic features of breast intraductal papilloma.Methods A total of 62 cases(73 lesions)of intraductal papilloma without nipple discharge diagnosed by pathology were retrospectively analyzed.According to the characteristics of nodules,dilated ducts,and the relationship between nodules and dilated ducts,the lesions were divided into typesⅠ~Ⅴ,and the characteristics of each type were analyzed.Results Among the 73 lesions,27 lesions were classified into typeⅠ,11 lesions were classified into typeⅡ,30 lesions were classified into typeⅢ,3 lesions were classified into typeⅣ,2 lesions were classified into typeⅤ.The accuracy of ultrasound diagnosis of each type were 88.9%,90.9%,40.0%,0,0,respectively.The accuracy of ultrasound diagnosis in 73 lesions was 63.0%.Conclusion Analysis of ultrasonographic features can improve the diagnostic accuracy of intraductal papilloma without nipple discharge.

关 键 词：超声检查 导管内乳头状瘤 无乳头溢液 特征 

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]