摘要
目的:探讨乳腺导管内癌的超声表现及误诊原因。方法:回顾分析经手术病理证实的17例乳腺导管内癌的超声声像图特征。结果:17例病灶中,超声诊断恶性肿瘤14例,良性病变2例,1例未发现肿块;超声诊断符合率为82.3%。根据文献和本研究中病灶的声像图特征,将17例病变分为5类:实性肿块型(6例),导管扩张型(5例),结构紊乱型(4例),囊性病灶型(1例),其他类型(1例)。结论:乳腺导管内癌的超声表现多样,充分认识乳腺导管内癌的超声声像图特征可减少误诊,结合钼靶及乳腺导管内镜检查可以减少漏诊。
Objective:To investigate the ultrasonographic findings of breast ductal carcinoma in situ and the causes of misdiag-nosis .Methods :Ultrasonographic features of 17 cases with breast ductal carcinoma in situ which were confirmed by operation and pathology were retrospectively reviewed .Results:Among the 17 cases of lesions ,according to the ultrasonic diagnosis there were 14 cases of malignant tumor ,2 cases of benign lesions ,and 1 case with no mass .Diagnostic coincidence rate was 82 . 3% by ultrasound .According to the characteristics from literatures and lesions in this study ,17 cases of lesions were roughly classified into 5 categories :solid mass(6 cases) ,conduit ectasia(5 cases) ,architecture disorder(4 cases) ,cystic mass(1 case) , other type(1 case) .Conclusions :The ultrasonographic findings of breast ductal carcinoma in situ are varied .Fully understand-ing the ultrasonographic features of breast ductal carcinoma in situ which can decrease missed-diagnosis ,combined with mam-mography examination and breast duct endoscopy which can reduce misdiagnosis ,will improve the diagnostic coincidence rate .
出处
《中国临床医学》
2014年第3期314-315,共2页
Chinese Journal of Clinical Medicine
关键词
彩色多普勒超声
乳腺导管内癌
诊断
Ultrasonography
Breast ductal carcinoma in situ
Diagnosis