超声乳腺影像报告和数据系统联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤  

Ultrasound breast imaging reporting and data system combined withpatients' age for differentiating benign and borderline/malignantphyllodes tumor of breast

作　　者：唐敏[1] 郑小雪[1] 李雪 宋建琼[1] TANG Min;ZHENG Xiaoxue;LI Xue;SONG Jianqiong(Department of Ultrasound,Dazhou Central Hospital,Dazhou 635000,China;Department of Clinical Research Center,Dazhou Central Hospital,Dazhou 635000,China)

机构地区：[1]达州市中心医院超声医学科,四川达州635000 [2]达州市中心医院临床医学研究中心,四川达州635000

出　　处：《中国医学影像技术》2024年第4期549-552,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的观察超声乳腺影像报告和数据系统(BI-RADS)联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤(PTB)的价值。方法回顾性分析74例经乳腺超声检查及术后病理证实的PTB女性患者共76个病灶,包括良性57个、交界性14个及恶性5个,比较3种病变患者年龄及其超声BI-RADS分类,观察以单一年龄、超声BI-RADS及其联合鉴别诊断价值。结果良性、交界性及恶性PTB之间,患者年龄及超声BI-RADS分类差异均有统计学意义(P=0.026、0.015)。以44.5岁、超声BI-RADS 4B类及其联合鉴别良性与交界性/恶性PTB的敏感度分别为94.74%、36.84%及73.68%,特异度分别为56.36%、87.27%及72.73%,曲线下面积分别为0.769、0.649及0.780。结论超声BI-RADS分类联合患者年龄有助于鉴别良性与交界性/恶性PTB。Objective To observe the value of ultrasound breast imaging reporting and data system(BI-RADS)combined with patients'age for differentiating benign and borderline/malignant phyllodes tumor of breast(PTB).Methods Data of 74 female patients with 76 breast ultrasound diagnosed PTB,including 57 benign,14 borderline and 5 malignant ones confirmed by postoperative pathology were retrospectively analyzed.The patients'age and ultrasound BI-RADS classification were compared among benign,borderline and malignant PTB,and the values of age and BI-RADS classification alone and their combination for differentiating benign and borderline/malignant PTB were observed.Results Significant differences of patients'age and ultrasound BI-RADS classifications were found among benign,borderline and malignant PTB(P=0.026,0.015).The sensitivity of patient's age of 44.5 years,ultrasound BI-RADS 4B and their combination for differentiating benign and borderline/malignant PTB was 94.74%,36.84%and 73.68%,respectively,with specificity of 56.36%,87.27%and 72.73%,respectively,and the area under the curve of 0.769,0.649 and 0.780,respectively.Conclusion Ultrasound BI-RADS combined with patients'age was helpful for differentiating benign and borderline/malignant PTB.

关 键 词：乳腺肿瘤 叶状瘤 超声检查 乳腺影像报告和数据系统 年龄 

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