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超声对乳腺叶状肿瘤的诊断价值 被引量:6

Value of Ultrasonography in Diagnosis of Breast Phyllode Tumor
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摘要 目的:研究超声诊断乳腺叶状肿瘤的声像图特征及临床应用价值。材料和方法:回顾性分析经手术病理证实的26例PTB的超声表现。结果:26例PTB中,13例为良性,8例为交界性,5例为恶性。7例表现为囊实性肿块,4例内部有钙化点。肿瘤最大径>5cm的16例PTB中,交界性与恶性共7例,恶性PTB彩色血流显示多为Ⅱ级。结论:PTB在超声图像上,有一些特征表现。超声对PTB的术前评价、鉴别诊断及术后随访具有特殊的临床价值。肿块局部边界不清、内部有囊变或钙化、内部血流丰富则提示恶性的可能。PTB大小与良、恶性之间无明显联系。 To evaluate the clinical application value of ultrasonography in the diagnosis of breast phyllode tumor(PTB). Materials and Methods: We analyzed retrospectively 26 cases of PTB's ultrasonography, which had been proved by operation and pathology. Results: In all 26 cases of PTB, 13 cases were benign, 8 cases were borderline ones and 5 cases were malignant. 7 cases had cystic change in ultrasonogram and 4 cases had inner calcification change. Among 10 cases of tumor that smaller than 5.0cm, 3 cases were malignant and 3 cases were borderline ones. Among 16 cases of tumor that bigger than 5.0cm, 7 cases were malignant or borderline ones. More often, malignant PTB showed R grade blood signal in CDFI. Conclusion: PTB have some distinguished ultrasonic characteristics. Ultrasonography enjoyed special important clinical value in pre - operation evaluation, differential diagnosis and post - operation follow - up of PTB. Infiltration margin echo of tumor and cystic, calcification change in ultrasonography may indicate malignancy. Size of tumor had no direct relation to its pathological character.
出处 《中国医学计算机成像杂志》 CSCD 2006年第2期129-132,共4页 Chinese Computed Medical Imaging
关键词 乳腺叶状肿瘤 超声检查 病理 诊断 Phyllode tumor of breast Ultrasonography Pathology
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