更多〉〉相关学者姜玉新严昆华扬张青萍陈敏华段云友刘东戴晴吴瑛蔡胜相关检索词乳腺癌 新辅助化疗 ultrasonography 免疫组化 导管 breast cancer 造影剂 胎儿 乳腺肿块 ultrasound 检出率 改良根治术 多普勒 保乳手术 免疫组织化学 磁共振成像 彩色 肿块 病理检查 准确率 自动乳腺全容积成像在乳腺癌术前测量评估中的应用

Automated breast volume scanning in pre-operative evaluation of breast carcinoma

目的评价运用自动乳腺全容积成像（ABVS）对乳腺癌术前大小测量的准确率.方法选取经手术病理证实的乳腺癌患者105例（118个病灶,其中导管原位癌病灶36个,非导管原位癌病灶82个）,术前均行常规超声、ABVS 检查,测量病灶最大径并与手术病理测量结果进行对比,比较常规超声与 ABVS 对两类病灶的检测情况.结果病理检查：病灶大小0.2~5.5（2.45±1.18）cm;ABVS 检查：病灶大小0.3~5.8（2.50±1.21）cm;常规超声检查：病灶大小0.8~5.2（2.16±1.12）cm.乳腺癌患者 ABVS 及常规超声检查结果与病理检查结果均呈显著正相关（r=0.906、0.990,均 P〈0.01）.ABVS 对导管原位癌病灶的检出率明显高于常规超声（P〈0.05）,而两种方法对非导管原位癌病灶检出率的差异无统计学意义（P 〉0.05）.结论 ABVS 对乳腺肿块的测量优于常规超声,尤其对于导管原位癌的测量有明显优势.

Objective To evaluate the application of ultrasonic automated breast volume scanning （ABVS） in measure-ment of breast cancer before operation. Methods One hundred and eighteen pathological y confirmed breast tumors from 105 patients, including 36 ductal carcinoma in situ （DCIS） and 82 non-ductal carcinoma in situ were examined by conventional ultra-sonography （US） and ABVS before operation. The maximum diameters of the lesions measured on conventional ultrasound and ABVS were compared with the pathological specimens. The detection rate of conventional US findings and ABVS findings was al-so compared. Results The size of lesions on pathological specimens was 0.2~5.5 （2.45±1.18）cm, measured by ABVS was 0.3~5.8 （2.50±1.21）cm, by conventional US was 0.8~5.2 （2.16±1.12）cm. The measurements by conventional US and ABVS were both positively correlated with those on pathological examination （r=0.906 and 0.990,both P〈0.01）.The detection rate of DCIS by ABVS was higher than by conventional US （P〈0.05）; however, there was no difference in the detection rate of non-DCIS between two methods. Conclusion ABVS is superior to conventional US in the measurement of breast cancer, especial y in the measurement of DCIS.