乳腺叶状囊肉瘤的声像图表现

Ultrasonography characteristics of cystosarcoma phyllodes of the breast

目的:探讨乳腺叶状囊肉瘤的超声声像图特点。方法:对6例经手术病理证实为乳腺叶状囊肉瘤患者行二维超声检查,观察肿块部位、形态、边缘、内部回声及血流分布情况。结果:乳腺叶状囊肉瘤的二维声像图表现为乳腺体积较大的圆形或分叶状肿物,边界多清晰,有或无包膜,内部为实性低回声,不均匀;出现不规则液性暗区,少见钙化,后方回声增强。血流信号检出率为100%,阻力指数(RI)变化范围较大。结论:超声对乳腺叶状囊肉瘤的良、恶性诊断困难,具有较典型的图像特征。结合彩色多普勒有助于早期发现本病并与其他类型乳腺肿瘤的鉴别诊断。

Objective： To explore ultrasonography characteristics cystosarcoma phyllodes of the breast. Methods： Six cases confirmed by surgery and pathology for breast cystosarcoma phyllodes were tested with two-dimensional ultrasounography. The mass location, shape, internal and marginal echo and distribution of blood flow were observed. Results： The 2 D sonography performances of breast cystosarcoma phyllodes larger round or phyllodes tumor with clear border, with or without capsule, as it is of low internal echo, uneven, solution of irregular dark, rare calcification, the rear echo enhanced. Doppler signal detection rate was 100 percent, resistance index （RI） changes in the scope larger. Conclusion： Breast ultrasounography for cystosarcoma phyllodes sarcoma has difficulty in diffrentiation of benign and malignant lesions, but it is certainly more typical image features. With color doppler it is helpfnl to detect the disease early and other types of breast cancer diagnosis.