特殊类型乳腺癌的超声误诊分析  

A Misdiagnosed Analysis of Special Type Breast Cancer by Ultrasound Examination

作　　者：王惠 董磊 张彦 崔娜 WANG Hui;DONG Lei;ZHANG Yan;CUI Na(Department of Ultrasound Diagnosis,the 960th Hospital of PLA Joint Logistics Support Forces,Jinan 250031,China)

机构地区：[1]解放军联勤保障部队第九六〇医院超声诊断科,济南250031

出　　处：《临床误诊误治》2021年第6期19-23,共5页Clinical Misdiagnosis & Mistherapy

摘　　要：目的分析特殊类型乳腺癌的超声误诊原因,提高对该类疾病的认识。方法回顾性分析2012年6月—2020年8月曾误诊的4例特殊类型乳腺癌的临床及超声检查资料。结果本组误诊率为22.2%。1例于哺乳期发现右乳肿块伴疼痛,误诊为积乳、乳腺炎,经穿刺活组织病理检查确诊为妊娠哺乳期乳腺癌。1例甲状腺癌术后检查发现右乳肿块,误诊为纤维腺瘤,术后病理确诊为乳腺黏液腺癌。1例体检发现右乳结节,误诊为良性结节,术后病理确诊为乳腺浸润性小叶癌。1例左侧乳头瘙痒伴溃烂,未做出诊断,术后病理确诊为乳腺Paget's病。4例均行手术治疗,目前患者均健在。结论特殊类型乳腺癌有各自的声像图特征,并有特定的病理学基础,但缺乏超声特异性,需要临床医师加深对该类病变的认识。Objective To analyze misdiagnosed causes of special type breast cancer in order to improve the understanding of the disease.Methods Clinical and ultrasonic data of 4 misdiagnosed patients with special type breast cancer during June 2012 and August 2020 was retrospectively analyzed.Results The misdiagnosed rate was 22.2%.One patient had mass and pain in the right breast during lactation,which was misdiagnosed as galactostasia and mastitis,and breast cancer during pregnancy and lactation was confirmed by biopsy of living tissue paracentesis.One patient was found right breast mass during postoperative examination for cancer of thyroid which was misdiagnosed as fibroadenoma,and then breast mucinous adenocarcinoma was confirmed by postoperatively pathological result.One patient was found right breast nodule by physical examination,which was misdiagnosed as benign nodule,and invasive lobular carcinoma of mammary glands was confirmed by postoperatively pathological result.One patient had itching and ulceration in the left nipple,but the diagnosis was not made initially,and Paget's disease was confirmed by postoperatively pathological result.All of the 4 patients received surgeries,and they were alive currently.Conclusion Special type breast cancer has distinct sonographic features and specific pathological basis,which are lack of specificity of ultrasonic imaging.Clinicians need to improve the understanding of these kinds of diseases.

关 键 词：特殊类型乳腺癌 超声检查 误诊 乳腺炎 纤维腺瘤 

分 类 号：R737.9[医药卫生—肿瘤]