乳腺非肿块病变的超声诊断

Ultrasound Diagnosis of Breast non mass Lesions

目的探讨乳腺非肿块病变的超声诊断表现。方法对2010年5月至2011年5月采取超声检查方法并通过手术或穿刺活检病理检查得到确诊的50例乳腺非肿块病变患者的临床资料进行回顾性分析。结果非肿块乳腺病变的50例患者中,病理显示34例(68.0%)为恶性病变,16例(32.0%)为非恶性病变。超声显示36例(72.0%)具有片状低回声表现,为1级;11例(22.0%)具有含散在微钙化片状低回声区表现,为2级;3例(6.0%)具有微钙化呈散在或簇状分布表现,为3级。结论超声诊断具有较高的敏感度及较低的特异度,临床应结合多种影像学方法对乳腺非肿块病变进行辨别,确有需要时可采取超声引导下穿刺活检方法进行确诊。

Objective To analyze the ultrasonic diagnosis of non mass lesions of mammary gland expression. Methods From 2010 May to 2011 May take ultrasound method and confirmed by operation or biopsy pathology in 50 patients with non tumor lesions of the breast clinical data analysis.Results 50 cases of non palpable breast lesions of patients,pathology showed 34 cases（68.0%）for malignant lesions,16 cases（32.0%）for non malignant lesions.Ultrasound showed 36 cases（72.0%）with sheet low echo,for 1;11 cases（22.0%）with dispersion performance in micro calcification flake hypoechoic areas,for 2;3 cases（6.0%）with micro calcification were scattered or cluster distribution performance,grade 3.Conclusion Ultrasonic diagnosis to have high sensitivity and low specificity, clinical method to identify breast non mass lesions combined with a variety of image,have need can be taken when ultrasound guided biopsy method for diagnosis.