超声在乳腺叶状肿瘤和纤维腺瘤鉴别诊断中的价值

Differential diagnosis between breast phyllode tumor and breast fibroadenoma by color Doppler ultrasonography

目的探讨超声多参数综合分析对乳腺叶状肿瘤与纤维腺瘤鉴别诊断的价值。方法分析经病理证实的17例乳腺叶状肿瘤和92例乳腺纤维腺瘤的超声表现。结果17例乳腺叶状肿瘤中3例周围皮肤变薄(占17.65%),11例囊性变(占64.71%),12例内部静脉曲张(占70.59%)。结论皮肤变薄、肿瘤囊性变及肿瘤内部静脉曲张是乳腺叶状肿瘤与乳腺纤维腺瘤鉴别诊断的重要指标,能提高乳腺叶状肿瘤的诊断准确性。

Objective To investigate the differential diagnosis value between breast phyllode tumor and breast fibroadenoma by comprehensive analysis of multiple parameters on color Doppler ultrasonography. Methods The manifestations or characteristics on color Doppler ultrasonography were analysed in 17 cases with breast phyllode tumor and 92 cases with breast fibroadenoma. Results Thinned skin was found in 3 cases of phyllode tumor of the breast （17.65%）. Cystic areas were observed in 11 cases with phyllode tumor of the breast （64.71%）. Varication inside the tumor was found in 12 cases with phyllode tumor of the breast （70. 59%）. Conclusions Thinned skin,cystic areas and varication inside the tumor are the important indicators in differential diagnosis for breast phyllode tumor from breast fibroadenoma, which may improve the accuracy of diagnosis for phyllode tumor of the breast.