摘要
目的 探讨高频超声对乳腺导管内乳头状瘤与导管内癌的鉴别诊断价值及超声误诊原因分析.方法 回顾性分析2017年—2019年病理证实的58例导管内乳头状瘤和49例导管内癌病例,对其超声诊断资料进行分析总结.结果 58例证实为导管乳头状瘤的患者中误诊病例9例,诊断符合率为84.48%;49例证实为导管内癌的患者中误诊病例8例,诊断符合率为83.67%.两组病例临床及声像图结果 比较,两者在发病年龄、病灶大小、形态、钙化、血流及周围导管扩张比较,差异有统计学意义(P<0.05),但两者在是否有乳头溢液、发病数量、常见部位、回声类型及边缘比较,差异无统计学意义(P>0.05).结论 高频超声检查对导管内乳头状瘤及导管内癌的鉴别诊断具有重要意义.
Objective To explore the differential diagnosis value of breast intraductal papilloma and ductal carcinoma in situ and analyze the causes of ultrasound misdiagnosis.Methods The ultrasound diagnosis data of 58 cases of breast intraductal papilloma and 49 cases of ductal carcinoma in situ confirmed by pathology in the First Affiliated Hospital of Soochow University from 2017 to 2019 were summarized and analyzed retrospectively.Results Among 58 cases proved to be breast intraductal papilloma,9 cases were misdiagnosed in which the diagnosis coincidence rate was 84.48%;Among 49 cases proved to be ductal carcinoma in situ,8 cases were misdiagnosed in which the diagnosis coincidence rate was 83.67%.According to the clinical and ultrasound images of two groups,compared with the age of onset,lesion size,morphology,calcification,blood flow and dilation of peripheral catheters,the difference was statistically significant(P<0.05),but compared with whether there is nipple discharge,number of incidences,common parts,echo type and edge comparison,the difference is not statistically significant(P>0.05).Conclusion High-frequency ultrasound examination is of great significance for the differential diagnosis of breast intraductal papilloma and ductal carcinoma in situ.
作者
杨丽霞
董凤林
赵雯
蔡晓峰
周梦琦
YANG Li-xia;DONG Feng-lin;ZHAO Weng;CAI Xiao-feng;ZHOU Meng-qi(Department of Ultrasound,the First Affiliated Hospital of Soochow University,Suzhou,Jiangsu,215006,China)
出处
《中国血液流变学杂志》
CAS
2020年第3期385-388,共4页
Chinese Journal of Hemorheology
关键词
高频超声
导管内乳头状瘤
导管内癌
high-frequency ultrasound
intraductal papilloma
intraductal carcinoma
作者简介
杨丽霞(1990-),女,江苏苏州人,学士,医师,研究方向:浅表器官;通讯作者:董风林,E-mail:unique5208@163.com
