超声检查对三阴性乳腺癌诊断及评估其癌灶大小的效能特点分析  

Analysis of the efficacy characteristics of breast ultrasonography for the diagnosis of triple negative breast cancer and assessment of its cancer focus size

作　　者：牟赛辉 董发进 张磊 张石芬 Mu Saihui;Dong Fajin;Zhang Lei;Zhang Shifen(Department of Ultrasound,Shenzhen People’s Hospital,Guangdong 518020,China)

机构地区：[1]广东省深圳市人民医院超声科,518020 [2]广东省深圳市人民医院病理科,518020

出　　处：《实用医学影像杂志》2022年第5期473-476,共4页Journal of Practical Medical Imaging

基　　金：广东省深圳市科技计划项目(JCYJ20190806151807192)。

摘　　要：目的 探讨乳腺超声检查诊断三阴性乳腺癌患者的效果,并分析该检查方式对患者病灶大小的评估效能进行分析。方法 本研究选取2019年5月至2021年5月间在我院接受手术病理检查确诊为乳腺癌的130例患者作为研究对象,所有研究对象术前均接受乳腺超声检查和磁共振成像(MRI)检查,并根据所有研究对象的免疫组化检查结果进行分组,其中经免疫组化检查确诊为三阴性乳腺癌的34例患者被设为观察组,而96例非三阴性乳腺癌患者则被设为对照组。本研究将通过对比2组研究对象的乳腺超声检查结果差异,评析三阴性乳腺癌患者采用乳腺超声检查方式进行诊断的效果。结果 通过对2组研究对象的乳腺超声检查结果进行对比分析发现,观察组和对照组患者的边界清晰与否、是否存在毛刺征、是否存在高回声晕、纵横比、有无微小钙化、血流分级和是否存在腋窝淋巴结转移等指标方面,差异有统计学意义(P<0.05)。通过针对性分析乳腺癌患者的上述指标,便可较准确地判断受检者是否患有三阴性乳腺癌。通过对比2组研究对象的肿瘤最大径术前乳腺超声和MRI检查结果发现,差异无统计学意义(P>0.05),但术前乳腺超声肿瘤最大径检测结果却高于手术病理检查,差异有统计学意义(P<0.05)。结论 三阴性乳腺癌患者采用乳腺超声检查方式进行诊断的效果较好,通过对受检者的超声影像边界、回声、纵横比和血流分级等指标进行分析,便可较为准确地判定受检者是否患有三阴性乳腺癌,且乳腺超声检查还可较为准确的判断三阴性乳腺癌患者的病灶大小,其评估病灶大小的效能较好,可作为一种初步诊断方式,具有极高的临床应用与推广价值。Objective To investigate the efficacy of the use of breast ultrasonography modalities for diagnosis in patients with triple negative breast cancer, and to analyze the efficacy of this examination modality for the assessment of lesion size in patients. Methods One hundred and thirty patients who underwent surgical pathology examination and were diagnosed with breast cancer in our hospital between May 2019 and May 2021 were selected as study subjects,all of whom underwent breast ultrasonography and MRI(Magnetic Resonance Imaging) examination preoperatively,and they were grouped according to the immunohistochemical findings of all study subjects, in which 34 patients with triple negative breast cancer diagnosed by immunohistochemical examination were set as the observation group,and 96 patients with non triple negative breast cancer were set as the control group. Evaluate the efficacy of breast ultrasound modalities for diagnosis in patients with triple negative breast cancer by comparing the difference in breast ultrasound findings between the two groups. Results The comparative analysis of the breast ultrasound findings of the two study groups revealed that patients in the observation and control groups had clear borders,presence or absence of spiculation sign, presence or absence of hyperechoic halos,aspect ratio, presence or absence of microcalcifi-cations,blood flow grade, and presence or absence of axillary lymph node metastasis were significantly different(P<0.05), by targeted analysis of the above indicators in breast cancer patients, it could make a more accurate judgment of whether a subject has triple negative breast cancer. When comparing the results of preoperative breast ultrasound and MRI of tumor maximum diameter between the two study groups,there was no significant difference between the results of the two examination modalities(P>0.05), but the results of preoperative breast ultrasound of tumor maximum diameter detection were higher than those of surgical pathological examination,(P<0.05). Conclusi

关 键 词：乳腺肿瘤 超声检查 三阴性乳腺癌 诊断 病灶 

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