非肿块型乳腺癌剪切波弹性硬度与预后因素的相关性研究  

Correlation study between shear wave elastic hardness and prognostic factors in breast cancer of non-mass lesion type

作　　者：岳民璐 刘森[1] 姜桂艳[1] 杨永雁[1] 武永丽[1] YUE Minlu;LIU Seng;JIANG Guiyan;YANG Yongyan;WU Yongli(Department of Ultrasound,Affiliated People’s Hospital of Inner Mongolia Medical University,Inner Mongolia Cancer Hospital,Hohhot 010010,China)

机构地区：[1]内蒙古医科大学附属人民医院/内蒙古肿瘤医院超声科,内蒙古呼和浩特010010

出　　处：《中国中西医结合影像学杂志》2022年第5期458-460,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：内蒙古医科大学青年创新基金项目(YKD2020QNCX041)。

摘　　要：目的:探讨非肿块型(NML)乳腺癌剪切波弹性硬度与预后因素的相关性。方法:收集经穿刺活检或手术病理确诊的NML乳腺癌患者31例,分析其超声弹性硬度值(Emax、Emean)与病理学预后指标间的关系。结果:Emean在有无钙化组间比较,Emax在是否脉管侵犯、是否神经侵犯、HER-2是否阳性组间比较,差异均有统计学意义(均P<0.05),其中脉管侵犯和神经侵犯均与Emax呈正相关。结论:NML乳腺癌弹性硬度值在不同预后组间存在差异,可作为预后评估的一项指标。Objective:To investigate the relationship between shear wave elastic hardness and prognostic factors in breast cancer of non-mass lession(NML)type.Methods:Data were collected from 31 patients with NML breast cancer who underwent ultrasound examination,and their ultrasonic data and pathological diagnosis were analyzed.The relationship of the shear wave elastic hardness(Emax,Emean)and pathological prognostic factors was analyzed.Results:Emean had significant difference between the elastic modulus of calcification and non-calcification,Emax had significant differences between vascular invasion and non-invasion,nerve invasion and non-invasion,HER-2 positivity and negativity(all P<0.05).Vascular invasion and nerve invasion were positively correlated with Emax.Conclusion:There are differences in the elastic modulus of NML breast cancer under different prognostic conditions,which can be used as an indicator of prognosis.

关 键 词：乳腺肿瘤 超声检查 剪切波弹性成像 预后 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]