乳腺癌超声显像及其病理基础初探

UItrasonographic Feature and Pathological Base of Breast Cancer.

本文对35例乳腺癌的超声显像及其病理基础进行初步探讨.单纯癌19例、浸润小叶癌4例、浸润导管癌5例、髓样癌3例、硬癌4例.前三者体积小,内部呈低回声反射,血供不丰富;后两者体积较大,内部呈强回声反射,血供丰富.其病理基础与癌肿细胞大小、形态、分布状态以及弹力纤维含量和增生血管多少有关.超声诊断乳腺癌敏感性高、特异性强,是目前最好的检测方法之一.

Thirty-five cases of ultrasonographic feature and pathological base of the breast cancer were studed. The breast cancer were divided into four groups with pathological feature, 19 cases of the simplex carcinoma, four cases of the infilrating tobular carcinoma, five cases of the infilrating duatal carcinoma, three cases of the medullary carcinoma and four cases of the scirrhous carcinoma. The front three types are small volume, low echo and poor vessel. The behind two types are big volume, high echo and rich vessel. The pathological bases of the ultrasonography of the breast career depened upon the big or small volme, formation and distribute state of the tumur celles, and more or less of elastic hyperplasia and vessel hypeplasia. It is one of the best method, to diagnose the breast cancer with B-mode ultrasound. Its sensitivity and specificity are good.