乳腺实性乳头状癌超声影像学研究

The study on solid papillary carcinoma of the breast by ultrasonography

目的探讨乳腺实性乳头状癌(solid papillary carcinoma,SPC)的超声影像学表现。方法选取2012年12月至2020年1月于复旦大学附属肿瘤医院就诊并经手术病理证实为SPC的患者218例,对其超声图像行回顾性分析,初步将其超声表现归纳为6型,并简要归纳其超声影像学特征。结果超声表现阴性者22例,实性占位型、结节伴导管扩张型、囊实性占位型、导管内异常回声型、单纯导管扩张型及非导管样片状低回声或结构紊乱型分别为79例(36.2%)、33例(15.1%)、29例(13.3%)、30例(13.8%)、20例(9.2%)及5例(2.3%),超声诊断符合率分别为70.9%、24.2%、75.9%、20%、0及0。结论乳腺SPC超声表现多样化,囊实性表现可作为提示乳腺SPC的一项特征。

Objective To investigate the imaging features of breast solid papillary carcinoma(SPC)by ultrasonography.Methods The ultrasonic images of 218 breast SPC patients confirmed by pathology in Fudan University Cancer Center from December 2012 to January 2020 were retrospectively reviewed.The manifestations were preliminarily classified into 6 types,and the ultrasonic imaging features were summarized.Results There were 22 cases with negative ultrasound findings.The cases of solid mass,nodular with ductal dilatation,cystic-solid mass,intraductal abnormal echo,simple ductal dilation and non-ductal flaky hypoechoic area or structural disorders were 79(36.2%),33(15.1%),29(13.3%),30(13.8%),20(9.2%)and 5(2.3%),respectively,and the diagnostic rates of ultrasound were 70.9%,24.2%,75.9%,20%,0 and 0,respectively.Conclusions The ultrasonic manifestations of breast SPC are diverse,while cystic-solid findings can be seen as a clue of breast SPC.