乳腺癌超声征象与病理组织学类型的关系分析  

Analysis of the Relationship between Ultrasound Signs and Histopatho⁃logical Types of Breast Cancer

作　　者：许瑞云 余小琴[1] 陈莹[1] 陈金华[1] XU Ruiyun;YU Xiaoqin;CHEN Ying;CHEN Jinhua(Department of Ultrasound,Shenzhen Longgang Central Hospital,Shenzhen,Guangdong Province,518116 China)

机构地区：[1]深圳市龙岗中心医院超声科,广东深圳518116

出　　处：《世界复合医学》2022年第4期1-3,8,共4页World Journal of Complex Medicine

基　　金：深圳市龙岗区科技计划项目(LGKCYLWS2020014)。

摘　　要：目的探讨乳腺癌超声征象与病理组织学类型的关系。方法回顾性分析该院2017年2月—2021年3月收治的60例乳腺癌患者临床资料,均行常规超声、超声造影检查,对其病理组织学类型详细记录,并分析与患者超声征象关系。结果60例患者中,毛刺征56例,微小钙化58例,形态不规则53例,后方回声衰减55例;超声造影评分为(3.05±0.21)分,其中1分、2分、3分、4分分别患者0例、4例、34例、22例;60例患者,ER阳性率、PR阳性率分别为51.67%(31/60)、55.00%(33/60);经直线相关分析结果显示,常规超声征象与临床分期、分化类型、ER阳性、PR阳性均呈正相关性(P<0.05);超声造影评分中淋巴结转移患者(4.96±0.71)分、无转移患者(2.41±0.32)分,对比差异有统计学意义(t=18.916,P<0.05)。不同分化类型患者中低分化(4.12±0.85)分、中分化(3.65±0.62)分、高分化(3.02±0.31)分,对比差异有统计学意义(F=15.750,P<0.05),其他不同病理组织类型超声造影评分对比差异无统计学意义(P>0.05)。结论乳腺癌常规超声征象、超声造影评分均与病理组织学类型有相关性,对评估病情有重要价值。Objective To investigate the relationship between ultrasonographic features and histopathological types of breast can⁃cer.Methods The clinical data of 60 breast cancer patients admitted to the hospital from February 2017 to March 2021 were ret⁃rospectively analyzed.Routine ultrasonography and contrast-enhanced ultrasonography were performed.The histopathological types were recorded in detail,and their relationship with the ultrasound signs of the patients was analyzed.Results Among the 60 patients,56 cases had burr sign,58 cases had microcalcification,53 cases had irregular shape,and 55 cases had posterior echo attenuation.The contrast-enhanced ultrasound score was(3.05±0.21)points.Among them,there were 0 cases,4,cases 34 cases,and 22 cases in 1 points,2 points,3 points,and 4 points,respectively.In 60 patients,the ER positive rate and PR posi⁃tive rate were 51.67%(31/60)and 55.00%(33/60),respectively.The results of linear correlation analysis showed that conven⁃tional ultrasound signs were positively correlated with clinical stage,differentiation type,ER positive and PR positive(P<0.05).In contrast-enhanced ultrasound scores,patients with lymph node metastasis(4.96±0.71)points and patients without metastasis(2.41±0.32)points,the difference was statistically significant(t=18.916,P<0.05).Patients with different differentiation types were scored as moderately differentiated(4.12±0.85)points,moderately differentiated(3.65±0.62)points and well differentiated(3.02±0.31)points,the difference was statistically significant(F=15.750,P<0.05).There was no statistically significant differ⁃ence in contrast between different pathological tissue types(P>0.05).Conclusion The conventional ultrasound signs and contrast-enhanced ultrasound scores of breast cancer are correlated with histopathological types,and are of great value in evaluating the disease.

关 键 词：乳腺癌 超声征象 病理组织学类型 相关性分析 超声造影 

分 类 号：R445.1[医药卫生—影像医学与核医学]