乳腺癌患者病理类型与超声BI-RADS分级、声像图表现的关系分析  

Analysis of the Relationship Between Pathological Types,Ultrasound BI-RADS Grades and Ultrasonographic Manifestations in Breast Cancer Patients

作　　者：刘亚君 LIU Yajun(Henan Kaifeng Obstetrics and Gynecology Hospital,Kaifeng,475000)

机构地区：[1]河南省开封市妇产医院,475000

出　　处：《实用癌症杂志》2024年第8期1353-1355,共3页The Practical Journal of Cancer

摘　　要：目的分析乳腺癌患者超声乳腺影像报告和数据系统(BI-RADS)分级、声像图表现与病理类型的关系。方法回顾性分析87例乳腺包块患者(87个包块)的有关资料,所有患者均行超声检查,并行BI-RADS分级,穿刺活检或术后病理检查证实包块性质,统计分析超声诊断与病理检查结果。结果超声BI-RADS分级显示,87例包块患者中,共检出49例恶性病变(4a级、4b级、4c级、5级),38例良性病变(3级)。病理检查结果显示,87例乳腺包块患者共检出87个包块,其中恶性病变共50例,主要包括浸润性导管癌31例,导管原位癌12例,浸润性微乳头状癌7例;良性病变共37例,主要包括乳腺增生结节23例,纤维腺瘤12例,其他2例。以病理检查为“金标准”,超声BI-RADS分级检查的灵敏度为96.00%(48/50)、特异度为97.30%(36/37)、准确度为96.55%(84/87);kappa检验显示:超声BI-RADS分级检查结果与病理检查结果的一致性极好(kappa值=0.930,P=0.000);恶性病变直径≥2 cm、钙化、边界不清、纵横比≥1、后方回声逐渐衰减、血流(PSV>20 cm/s,RI>0.70)的占比均高于良性病变,差异有统计学意义(P<0.05)。结论超声BI-RADS分级与声像图表现结合应用,可提高乳腺包块的定性诊断,精准地判定乳腺包块的良恶性,进而提高乳腺癌的检出准确性,为临床提供可靠的依据。Objective To analyze the relationship between the grading of BI-RADS,sonographic findings and pathological types in breast cancer patients.Methods A retrospective analysis was conducted on the relevant data of 87 patients with breast masses(87 masses).All patients underwent ultrasound examination,and BI-RADS grading was performed.The nature of the masses was confirmed by puncture biopsy or postoperative pathological examination.The ultrasound diagnosis and pathological examination results were statistically analyzed.Results The ultrasound BI-RADS grading showed that out of 87 patients with masses,a total of 49 malignant lesions(grade 4a,4b,4c,and 5)and 38 benign lesions(grade 3)were detected.The pathological examination results showed that a total of 87 breast mass patients were detected,including 50 cases of malignant lesions,mainly including 31 cases of invasive ductal carcinoma,12 cases of ductal carcinoma in situ,and 7 cases of invasive micropapillary carcinoma;There were 37 cases of benign lesions,mainly including 23 cases of breast hyperplasia nodules,12 cases of fibroadenomas,and 2 cases of others.Using pathological examination as the“gold standard”,the sensitivity of ultrasound BI-RADS grading examination was 96.00%(48/50),specificity was 97.30%(36/37),and accuracy was 96.55%(84/87);The kappa test showed that the consistency between the ultrasound BI-RADS grading test results and the pathological examination results was excellent(kappa value=0.930,P=0.000);The proportion of malignant lesions with a diameter≥2 cm,calcification,unclear boundaries,aspect ratio≥1,gradual attenuation of posterior echo,and blood flow(PSV>20 cm/s,RI>0.70)was higher than that of benign lesions,and the difference was statistically significant(P<0.05).Conclusion The combination of ultrasound BI-RADS grading and sonography can improve the qualitative diagnosis of breast masses,accurately determine the benign and malignant breast masses,and then improve the detection accuracy of breast cancer,providing reliable basis for clin

关 键 词：乳腺癌 病理分型 乳腺影像报告和数据系统 声像图表现 

分 类 号：R737.9[医药卫生—肿瘤]