乳腺癌超声表现与组织病理学类型的相关性研究

Correlation between ultrasonographic findings and histopathological types of breast cancer

目的探讨乳腺癌超声表现与组织病理学类型的相关性。方法回顾性分析2014年1月～2015年7月在台州市立医院及浙江省肿瘤医院行手术治疗的122例乳腺癌患者的临床资料,分析超声形态特点及血流表现与组织病理学的相关性。结果 122例乳腺癌中,95.9%的病灶形态不规整;36.9%的病灶周围有强回声晕征,多见于浸润性导管癌和浸润性小叶癌;61.5%的病灶边缘毛刺征,多见于浸润性癌;54.9%的病灶有微小钙化,多见于导管内癌和浸润性导管癌;37.7%的病灶后方回声衰减,多见于浸润性癌;51.6%的病灶淋巴结转移,多见于浸润性导管癌。乳腺癌血流主要为Ⅱ、Ⅲ级,浸润性导管癌和其他浸润性癌血流丰富。122例乳腺癌中,周围型血流占49.2%（60/122）,多见于导管内癌、早期浸润癌和浸润性小叶癌;内部型次之,为28.7%（35/122）,多见于其他浸润性癌;穿入型仅为20.5%（25/122）。结论乳腺癌超声表现与病理组织学类型相关,肿瘤超声形态与血流特点对病理组织学类型有提示作用。

Objective To investigate the correlation between ultrasonographic findings and histopathological types of breast cancer. Methods Clinical dates of 122 patients with breast cancer in Zhejiang taizhou municipal hospital and Zhejiang cancer hospital from January 2014 to July 2015 were collected, the correlation between ultrasonographic findings and histopathological types were analyzed. Results In 122 cases of breast cancer,95.9% of the lesions were irregular in shape, 36.9% of the lesions were strongly echo halo sign,more common in invasive ductal carcinoma and invasive ductal carcinoma. 61.5% of the lesion with coarse margin, more common in invasive carcinoma. 54.9% of the lesions were small calcification, more common in ductal carcinoma and invasive ductal carcinoma. 37.7% of the lesions were posterior echo attenuation, common in invasive carcinoma. 51.6% of the lesions occurred in lymph node metastasis,more common in invasive ductal carcinoma. The blood flow of breast cancer was mainly Ⅱ,Ⅲ grade, more common in invasive ductal carcinoma and other invasive carcinoma. 122 cases of breast cancer, peripheral blood flow 49.2%（60/122）, more common in intraductal carcinoma,early invasive carcinoma and infiltrating lobular carcinoma; internal times 28.7%（35/122）,more common in other invasive carcinoma; penetrating only 20.5%（25/122）. Conclusion The ultrasonographic features of breast cancer are closely related to the changes of pathology. The ultrasonographic features and blood flow can be a predictor of histopathologic pattern preoperatively.