乳腺纤维囊性病的超声表现  

The ultrasonographic features of fibrocystic breast disease

作　　者：蔡华丽[1] 钟洁愉[1] 赵卓非 Cai Huali;Zhong Jieyu;Zhao zhuofei(Department of Ultrasound Imaging,Peking University Shenzhen Hospital,Shenzhen 518000,China)

机构地区：[1]北京大学深圳医院超声影像科,518000

出　　处：《中国医师杂志》2021年第6期805-808,共4页Journal of Chinese Physician

基　　金：深圳市医学重点学科立项项目(SZXK051)。

摘　　要：目的探讨乳腺纤维囊性病肿物的常规超声表现,为乳腺纤维囊性病与乳腺恶性肿瘤的鉴别诊断提供依据。方法回顾性分析2015年1月至2021年2月北京大学深圳医院经病理证实为乳腺纤维囊性病的144例患者166个病灶的二维超声、彩色多普勒血流图及弹性成像,总结其声像图特点。结果乳腺纤维囊性病肿块的声像图特点:74.1%(123/166)病灶为低回声,57.2%(95/166)形态不规则,49.4%(82/166)边缘不完整,90.4%(150/166)平行生长,25.9%(43/166)病灶内可见小囊肿,24.1%(40/166)病灶内可见粗钙化或细钙化,65.1%(108/166)后方回声无改变,90.4%(150/166)血流呈乏血供型,98.2%(163/166)的病灶弹性成像评分2~3分。结论乳腺纤维囊性病肿物的超声表现为低回声、形态不规则、边缘不完整、内伴细钙化或粗钙化等特点,易误诊为乳腺恶性肿瘤,但前者多为平行生长、内部可见小囊肿,后方回声多无改变以及乏血供、质地较软,为临床鉴别诊断提供重要的依据。Objective To investigate the routine ultrasonographic findings of fibrinous breast disease lesions,and to provide the basis for the differential diagnosis of fibrocystic breast disease lesions and breast cancer.Methods The two-dimensional ultrasonography,color doppler flow and elastography of 166 lesions in 144 patients with fibrocystic breast disease confirmed by pathology in Peking University Shenzhen Hospital from January 2015 to February 2021 were retrospectively analyzed.Results The ultrasonographic characteristics of fibrocystic breast disease lesions were as follows:74.1%(123/166)lesions were hypoechoic,57.2%(95/166)lesions were irregular,49.4%(82/166)lesions were incomplete,90.4%(150/166)lesions were parallel,25.9%(43/166)lesions showed small cysts,24.1%(40/166)lesions showed coarse calcification or fine calcification,65.1%(108/166)lesions showed no change in posterior echo,90.4%(150/166)blood flow was poor.The elastography score of 98.2%(162/166)lesions was 2-3 points.Conclusions The ultrasonographic features of fibrocystic breast tumor are hypoechoic,irregular shape,incomplete edge,with fine or coarse calcification,which are easy to be misdiagnosed as breast malignant tumor.However,the former is characterized by parallel growth,small cyst in the interior,no change in posterior echo,lack of blood supply and soft texture,which provide important basis for clinical differential diagnosis.

关 键 词：乳腺纤维囊性病 超声检查 

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]