超声鉴别诊断乳腺典型髓样癌与不典型髓样癌的价值分析

The Value Analysis of Ultrasound in Differential Diagnosis of Typical and Untypical Medullary Carcinoma of the Breast

目的分析病理证实的乳腺髓样癌及不典型髓样癌的超声及病理资料,证明超声诊断乳腺髓样癌价值。方法回顾性分析114例乳腺髓样癌病灶病理资料,将其分为髓样癌组及不典型髓样癌组,分析其超声声像图中病灶的形态、大小、边缘、边界、内部回声、血流情况等,探讨两组超声声像图的差异。结果乳腺典型髓样癌病灶93例,不典型髓样癌病灶21例,两组的超声声像图上各特征均无明显统计学差异。超声诊断典型髓样癌和不典型髓样癌良恶性的准确性分别为83.87%、85.71%。结论超声对鉴别乳腺髓样癌良恶性方面具有诊断价值,但在鉴别髓样癌与不典型髓样癌方面价值有限。

Objective To explore the value of ultrasound in differential diagnosis of typical and untypical medullary carcinoma histologically proved by analyzing pathological data of breast medullary carcinoma and medullary carcinoma. Methods 114 medullary carcinoma patients were divided into two groups with typical or untypical medullary carcinoma. The ultrasonic characteristics including shape, size, margin, border, internal echo and blood flow were respectively analyzed. The difference of ultrasonagraphy between two groups was discussed. Results 93 typical medullary lesions and 21 untypical medullary carcinoma were analyzed and no statistical difference was found between the two groups. The accuracy rate of ultrasound in diagnosing typical and untypical medullary carcinoma malignant were 83.87% , 85.71% , respectively. Conclusion Ultrasound is valuable in differentiating diagnosis of medullary carcinoma from benign tumors, but its value in distinguishing typical medullary carcinoma from untypical medullary carcinoma is limited.