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乳腺黏液腺癌患者的多普勒超声特征研究

Characteristics of ultrasound imaging in patients with mucinous adenocarcinoma of the breast
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摘要 目的探究乳腺黏液腺癌(MBC)患者的超声影像特点。方法收集2011年3月至2016年7月在山东省枣庄市妇幼保健院行乳腺超声检查并经手术证实的74例MBC患者,术前进行彩色多普勒检查,比较患者可疑病灶处的内部回声、边界、象限、内部血流及淋巴结转移状况等。结果 74例MBC中单纯型为38例,混合型为36例,混合型中为患者同时存在MBC和浸润性导管癌;其中MBC所占比例为2%~97%;乳腺单纯型的超声边界较为清晰,混合型超声声像图边界较为模糊,数据差异有统计学意义(P<0.05)。结论单纯型MBC肿瘤边界清楚、形态规则,混合型MBC肿瘤边界不清、形态不规则;此外单纯型和混合型MBC均有血流信号不明显、乳腺肿块内部回声不均匀、后方回声增强等特征。 Objective To explore the characteristics of ultrasound imaging in patients with mucinous adenocarcinoma of the breast.Methods A total of 74 cases in our hospital for breast ultrasound and breast mucinous carcinoma patients confirmed by surgery were collected from March 2011 to July 2016,preoperative color Doppler examination was performed to observe the internal echo,boundary,quadrant,internal flow and lymph node metastasis in patients with suspicious lesions.Results Among 74 cases of mucinous breast carcinoma there were 38 cases of simplex type,36 cases of mixed type,mixed type patients exist at the same time breast mucinous carcinoma and invasive ductal carcinoma;of which the proportion of MBC ranged from 2%to 97%;the boundary of simple type of breast ultrasound is more clear,mixed type ultrasonographic boundary is fuzzy data statistically significant difference(P<0.05).Conclusion Simple type MBC tumor with clear boundary,regular shape,mixed type simple type MBC tumor boundary is not clear and irregular in shape;in addition both breast mass internal echo uniform,posterior echo enhancement,less blood flow signal characteristics is not obvious.
作者 张艳 袁玉红 郑学东 ZHANG Yan;YUAN Yuhong;ZHENG Xuedong(Department of Ultrasound,Maternity and Child Health Care of Zaozhuang,Zaozhuang,Shandong 277000,China;Department of Medical Imaging,Zaozhuang Mining Group Zaozhuang Hospital,Zaozhuang,Shandong 277101,China)
出处 《检验医学与临床》 CAS 2018年第8期1086-1088,共3页 Laboratory Medicine and Clinic
关键词 超声影像 乳腺黏液腺癌 特征 ultrasonic image mucinous adenocarcinoma of the breast feature
作者简介 张艳,女,主治医师,主要从事临床超声相关工作研究。;通信作者,E-mail:1019667234@qq.com。
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