乳腺硬化性腺病与浸润性乳腺癌的自动乳腺全容积超声影像比较  

The value of ABUS in differentiating sclerosing adenopathy from invasive breast cancer

作　　者：赵玲 马步云[1] 商雷 ZHAO Ling;MA Buyun;SHANG Lei(Department of Ultrasound,West China Hospital,Sichuan University,Sichuan Chengdu 610041,China;Department of Imaging,Mianyang Maternal and Child Health Care Hospital,Sichuan Mianyang 621000,China)

机构地区：[1]四川大学华西医院超声医学科,四川成都610041 [2]绵阳市妇幼保健计划生育服务中心影像科,四川绵阳621000

出　　处：《现代肿瘤医学》2022年第6期1089-1093,共5页Journal of Modern Oncology

摘　　要：目的:探讨乳腺硬化性腺病(sclerosing adenosis,SA)与浸润性癌(invasive breast cancer,IBC)的自动乳腺全容积超声(automated breast ultrasound system,ABUS)影像特征,评价ABUS对两者的鉴别价值。方法:收集2018年01月至2020年01月经手术病理确诊的102例SA和107例IBC病例,比较两者临床资料及ABUS征象。结果:SA病灶平均(1.51±1.13)cm,IBC病灶平均(2.57±1.55)cm(P<0.05);SA与IBC在ABUS二维平面上均多表现为不规则形与低回声,出现的例数分别为64例(62.7%)、78例(76.5%)和70例(65.4%)、77例(72.0%);SA与IBC在ABUS冠状平面上,SA多表现为边缘清楚56例(54.9%),后方回声增强或无改变84例(82.4%),周围脂肪回声无改变83例(81.4%),无钙化69例(67.6%),无“汇聚征”81例(79.4%)。IBC多表现为边缘毛刺65例(60.7%),后方回声衰减61例(57.0%),周围脂肪回声无改变73例(68.2%),微钙化62例(57.9%),有“汇聚征”73例(68.2%)(P<0.05)。结论:两者在ABUS二维平面上超声征象存在部分重叠,ABUS冠状面征象有助于两者的鉴别诊断。Objective:To explore the image features of automated breast ultrasound system(ABUS)between sclerosing adenosis(SA)and invasive breast cancer(IBC),and evaluate the identification value of ABUS to them.Methods:102 cases of breast sclerosing adenosis and 107 cases of invasive breast cancer confirmed by surgery and pathology from January 2018 to January 2020 were collected,and their clinical data and signs of ABUS were compared.Results:SA lesions averaged(1.51±1.13)cm,IBC lesions averaged(2.57±1.55)cm(P<0.05).SA and IBC were mostly irregular and hypoechoic on the two-dimensional plane of ABUS,the number of cases were 64(62.7%),78(76.5%)and 70(65.4%),77(72.0%).On the coronary plane of ABUS,SA showed clear margin 56(54.9%),enhanced or unchanged posterior echo 84(82.4%),unchanged peripheral fat echo 83(81.4%),no calcification 69(67.6%),no"convergence"81(79.4%).IBC was characterized by edge burr 65(60.7%),posterior echo attenuation 61(57.0%),peripheral fat echo unchanged 73(68.2%),microcalcification 62(57.9%),and convergence sign 73(68.2%)(P<0.05).Conclusion:There is partial overlap between the two ultrasound signs on the two-dimensional plane of ABUS,and the coronary sign of ABUS is helpful for the differential diagnosis of them.

关 键 词：自动乳腺全容积超声 乳腺硬化性腺病 浸润性乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]