男性乳腺疾病超声和病理诊断的十年回顾

Sonography of Male Breast Lesions and the Pathological Diagnosis: A Retrospective Study of 10 Years and Literature Review

检索2002-2011年我院男性乳腺患者的超声资料,以BI-RADS图像术语为标准,对该资料进行标准化处理,总结不同病理类型的超声图像特征,统计分析超声恶性征象在男性乳腺良恶性疾病之间的差异。结果显示除边界不完整外,其余13项超声恶性征象在男性乳腺疾病良恶性组差异有统计学意义,"毛刺征"、"强回声晕"、"钙化"、"后方回声衰减"、"腋窝淋巴结肿大"、"皮肤增厚"和"非中心性生长"独立诊断男性乳腺癌特异度在95%以上,结果提示高频超声可以较好地鉴别诊断男性乳腺良恶性疾病。

The sonographic features of male breast lesions, which underwent ultrasound examination in our hospital for the past 10 years, were retrospectively analyzed. Sonographic features of these lesions were standardized as BIRADS image lexicon. The differences in ultrasonic malignant signs were assessed between the benign and the malignant diseases. Between the two groups, incomplete boundary was statistically different. The specificity was above 95% within the two groups in terms of speculated margin, echogenic halo, calcification, axillary lymphadenopathy, thickening of skin and eccentric of mass to the nipple. High-frequency sonographic examination has a high level of differential diagnosis for male breast lesions.