彩超对乳腺肿块的鉴别诊断与病理诊断对比

Analysis of Differential Diagnosis and Pathologic Diagnosis on Breast Mass by Ultrasound

目的对乳腺肿块的彩超诊断与病理检查进行对照分析,总结误诊原因。方法使用5.0～10MHz高频探头对189例临床高度怀疑为恶性乳腺肿块而行手术治疗的病人进行彩超检查,术后均做病理检查对照。结果189例乳腺肿块,恶性肿块127例,占67.2%;良性肿块62例,占32.8%。超声诊断与病理诊断符合率84%,误诊率8%,未定性率8%。肿块最大5.0cm,最小0.6cm。年龄25～65岁,平均46岁。结论大多数乳腺良、恶性肿块声像图有相同的共性和一定的规律可循,结合彩色血流形态学和动力学参数的检测,配合做超声引导穿刺细胞学检查或超声造影,对乳腺良恶性肿块的鉴别诊断有重要的临床意义。

Objective To approach the differential diagnosis and pathologic diagnosis of breast mass by ultrasound and to summarize the misdiagnosis reason. Methods 189 cases of high suspect malignant breast mass patients, who would suffer operation treatment, were adopted color ultrasound inspect using 5.0- 10 MHz high frequency probe. Results Malignant mass is 127 csaes（67.2%）. Innocence mass is 62 cases （32.8%）. The diagnose accordance rate of ultra- sound and pathology is 84%, misdiagnose rate is 8%, unqualitation rate is 8%. The mass is from 0.6cm to 5.0cm. The patient age is from 25 to 65 and average 46. Conclusion The most images of innocence and malignant breast tu- mour has commonness and regularity. Ultrasound was very important clinical significance for the differential diagnosis of breast tumour by the detection of colour blood flow morphology and dynamics, moreover compounding ultrasound guided puncture or ultrasonic visualization.