乳腺包裹性乳头状癌与乳腺导管原位癌的超声鉴别  

Ultrasound Differentiation of Encapsulated Papillary Carcinoma of the Breast from Ductal Carcinoma in Situ

作　　者：谢巧捷 苏立阳 XIE Qiao-jie;SU Li-yang(Quanzhou First Hospital Affiliated to Fujian Medical University,Fujian Quanzhou 362000)

机构地区：[1]福建医科大学附属泉州第一医院,福建泉州362000

出　　处：《中国医疗器械信息》2025年第4期11-13,30,共4页China Medical Device Information

摘　　要：目的:探讨乳腺包裹性乳头状癌(encapsulated papillary carcinoma,EPC)与乳腺导管内原位癌(ductal carcinoma in situ,DCIS)的超声表现差异并进行鉴别诊断。方法:选取2018年1月~2024年5月在泉州市第一医院经病理学证实的32例EPC患者及179例DCIS患者的临床资料并进行统计分析,比较二者的超声表现差异。结果:纳入比较的EPC患者的年龄明显高于DCIS患者,临床检体上EPC的触诊阳性率也高于DCIS,在超声图像上,二者的形状、纵横比、边界及内部钙化灶表现对比均有统计学意义(P<0.05)。结论:EPC和DCIS在年龄及临床触诊查体上存在差异,结合二者超声表现上的形态、纵横比、边界及内部钙化灶等表现,对鉴别两者有一定参考意义。Objective:To investigate the ultrasound performance difference of breast encapsulated papillary carcinoma(EPC)and ductal carcinoma in situ(DCIS)and make the differential diagnosis.Methods:Clinical data and color Doppler ultrasound images of 32 EPC patients and 179 DCIS patients from January 2018 to May 2024 in Quanzhou First Hospital were selected and analyzed for statistical analysis to compare the differences in their ultrasound findings.Results:The age of EPC patients was significantly higher than that of DCIS patients,and the positive rate of EPC on clinical examination was also higher than that of DCIS.In the ultrasound images,the shape,aspect ratio,boundary and internal calcification findings were statistically significant(P<0.05).Conclusion:EPC and DCIS are different in age and clinical palpation,it has a certain reference significance to identify both by combining the shape,aspect ratio,boundary and internal calcification of the two ultrasound manifestations.

关 键 词：乳腺包裹性乳头状癌 乳腺导管内原位癌 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]