不同分化类型乳腺癌B超影像学特征及病理形态分析

Analysis of B-ultrasound imaging characteristics and pathological morphological in different typesof breast cancer

目的探讨不同病理类型及分化级别乳腺癌的B超影像学特征，为临床乳腺癌的诊断提供一定的理论依据。方法选取经病理检查确诊的乳腺癌患者96例为研究对象。所有患者均行手术治疗，并经病理及B超检查，分析其B超影像学特征及其与病理分型及分化程度的关系。结果肿块形态及血流征象方面，高分化及中分化乳腺癌与低分化乳腺癌比较，差并有统计学意义（P〈0．05）；与浸润性导管癌比较，浸润性小叶癌包块形态不规则率明显较高，差异有统计学意义（p〈0．05）；此外，浸润性小叶癌包块边缘有毛刺的例数显著高于浸润性导管癌，差异有统计学意义（P〈0．05）。结论不同分化程度及不同病理类型乳腺癌具有不同的B超影像学特征，B超检查对其有一定的鉴别作用。

Objective To investigate the ultrasound characteristics of different pathological typesand differentiated levels cal disease. Methods of breast cancer, and to provide some theoretical basis for the diagnosis of clini-A total of 96 patients with breast cancer were selected as the research objects. All patients underwent surgical treatment, pathological examination and ultrasound examination; the rela-tionships among characteristics of the ultrasound, pathological classification and differentiation degree were analyzed. Results In terms of mass morphology and blood flow signs, there was a significant difference between highly differentiated and moderately differentiated breast cancer and low differentiated breast cancer(P 〈 0. 05). Compared with invasive ductal carcinoma, the irregular rate of the mass of in-filtrating lobular carcinoma was significantly higher, and the difference was statistically significant （P 〈 0. 05). In addition, the number of burrs at the edge of the infiltrating lobular carcinoma was significantly higher than that of invasive ductal carcinoma, the difference was statistically significant (P 〈 0. 05). Conclusions Breast cancers of various differentiation and different pathological types have different B-ultrasound features, which can be used to identify them.