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作 者:蓝桂銮 LAN Guiluan(the People's Hospital of Rong'an County,Liuzhou 545400,China)
出 处:《临床医学研究与实践》2024年第29期123-126,共4页Clinical Research and Practice
摘 要:目的探讨超声检查在非典型乳腺癌诊断中的价值。方法选取我院经手术病理证实的58例非典型乳腺癌患者为研究对象,回顾性分析其超声声像图特点,评价超声诊断的应用价值。结果58例非典型乳腺癌超声表现如下:囊实性混合型13例,导管扩张型17例,片状低回声区型16例,小结节型1例,微钙化型10例,隐匿型1例。其中,浸润性导管癌46例,浸润性小叶癌3例,浸润性乳头状癌3例,导管内癌3例,黏液癌1例,混合性浸润癌2例。结论充分认识非典型乳腺癌的超声声像图特点,对提高诊断符合率有很大的帮助,必要时对可疑病例进行超声引导下穿刺活检,可减少误诊和漏诊。Objective To explore the value of ultrasonography in the diagnosis of atypical breast cancer.Methods A total of 58 patients with atypical breast cancer confirmed by surgery and pathology in our hospital were selected as the research objects.The ultrasonographic features of atypical breast cancer were retrospectively analyzed,and the application value of ultrasound diagnosis was evaluated.Results The ultrasonic manifestations of 58 cases of atypical breast cancer were as follows:13 cases of cystic-solid mixed type,17 cases of ductal dilatation type,16 cases of patchy low echo area type,1 case of small nodular type,10 cases of microcalcification type and 1 case of occult type.Among them,there were 46 cases of invasive ductal carcinoma,3 cases of invasive lobular carcinoma,3 cases of invasive papillary carcinoma,3 cases of ductal carcinoma in situ,1 case of mucinous carcinoma and 2 cases of mixed invasive carcinoma.Conclusion Fully understanding the ultrasonographic features of atypical breast cancer is of great help to improve the diagnostic coincidence rate,if necessary,ultrasound-guided biopsy of suspicious cases can reduce misdiagnosis and missed diagnosis.
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