乳腺包裹性乳头状癌与乳腺导管内乳头状瘤的超声鉴别  

Ultrasound differentiation of encapsulated papillary carcinoma of the breast from intraductal papilloma

作　　者：谢巧捷 苏立阳 XIE Qiaojie;SU Liyang(Abdominal Color Ultrasound Department,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,Fujian,China)

机构地区：[1]福建医科大学附属泉州第一医院腹部彩超室,福建泉州362000

出　　处：《中国现代医生》2025年第2期58-60,68,共4页China Modern Doctor

摘　　要：目的探讨乳腺包裹性乳头状癌(encapsulated papillary carcinoma,EPC)与乳腺导管内乳头状瘤(intraductal papilloma,IDP)的超声表现差异并进行鉴别诊断。方法选取2018年1月至2024年5月福建医科大学附属泉州第一医院收治的242例患者作为研究对象,分为EPC组(n=32)及IDP组(n=210),比较分析两组患者的超声表现差异。结果EPC组患者的年龄明显高于IDP组,EPC组患者的触诊阳性率高于IDP组。在超声图像上,两组患者的肿瘤直径、边界及血流超声表现比较差异均有统计学意义(P<0.05)。结论EPC患者和IDP患者在年龄及临床触诊查体方面存在差异,结合两者超声表现上的直径、边界及血流分布等,对两者的鉴别诊断有一定参考意义。Objective To investigate the differences in ultrasound performance between encapsulated papillary carcinoma(EPC)and intraductal papilloma(IDP)to facilitate differential diagnosis.Methods A total of 242 patients admitted to Quanzhou First Hospital Affiliated to Fujian Medical University from January 2018 to May 2024 were selected and divided into EPC group(n=32)and IDP group(n=210),and differences in ultrasound performances between two groups were analyzed.Results The age of EPC patients included in the comparison was significantly higher than that of IDP,and the positive rate of EPC on clinical examination was also higher than that of IDP(P<0.05).In ultrasound images,the diameter,boundary and flow performance of both were statistically significant(P<0.05).Conclusion EPC patients and IDP patients are different in age and clinical palpation,it has a certain reference significance to identify both by combining their diameter,boundary and blood flow manifestations of the two ultrasound manifestations.

关 键 词：乳腺包裹性乳头状癌 乳腺导管内乳头状瘤 超声表现 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]