乳腺增生症的声像图特征及鉴别诊断  

Ultrasound Appearance and Differentiation of Breast Hyperplasia

作　　者：王萍[1] 王绍文[1] 孙宁[1] 孙国英[1] 毛慧芳[1] 于利华[1] 何凯[1] 

机构地区：[1]上海市宝山中心医院物理诊断科,201900

出　　处：《临床超声医学杂志》2004年第1期30-32,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的　探讨乳腺增生症的声像图特征及鉴别诊断 ,以提高超声对乳腺增生症的诊断符合率。方法　回顾总结 79例乳腺增生症的声像图特征 ,与病理学组织类型比较、分类 ,提出鉴别要点。结果　 79例经手术病理证实的乳腺增生症声像图表现为单纯性小叶增生 16例占 2 0 .3 % ,腺病及纤维腺病 2 8例占 3 5 .4% ,腺瘤样乳腺增生 2 1例占2 6.6% ,囊性增生 9例占 11.4% ,硬化性增生 5例占 6.3 % ,本组诊断符合率为 79.7% ( 63 79) ,误诊率为 2 0 .3 % ( 16 79)。结论　超声显像对乳腺增生症具有较大的诊断价值 ,但应注意与乳腺纤维腺瘤。Objective This study was designed to find the of ultrasound feature of breast hyperplasia for better diagnosis and differentiation. Methods The imaging characteristics of 79 breast hyperplasia cases were reviewed and compared with histopathology. The differentiation criteria were set up. Result 79 cases with breast hyperplasia were confirmed by operation and pathology. Among the patient population, there were 16 cases of simple breast hyperplasia, 28 cases with adenoma and fibroadenoma, 21 cases with adenoma hyperplasia, 9 cases with cystic hyperplasia and 5 cases with sclerotic hyperplasia. The overall diagnostic accuracy was 79.7%(63/79). Conclusion Ultrasonography is helpful in the diagnosis of breast hyperplasia, but differentiation with breast adenoma and adenocarcinoma should be taken in consideration.

关 键 词：乳腺增生症 声像图 鉴别诊断 病理学组织类型 

分 类 号：R655.8[医药卫生—外科学]