乳腺淋巴瘤16例超声特征分析

Ultrasonic features of breast lymphoma:An analysis of 16 cases

目的分析乳腺淋巴瘤患者的超声特征。方法回顾性分析2010年5月至2021年11月于浙江大学医学院附属第二医院经病理明确诊断的有完整超声检查及临床信息资料的16例乳腺淋巴瘤患者的超声特征。结果16例乳腺淋巴瘤患者共纳入18个病灶;均为女性;年龄29~71岁,(55±15)岁;病灶直径1.1~10 cm,(4.4±2.6)cm。根据常规超声内部回声特点分为3型,其中极低回声型3个(16.7%),高低回声相间结构紊乱型9个(50.0%),低回声或极低回声背景下条状或网格状高回声型6个(33.3%)。根据病灶有无明显边界分为肿块型和弥漫型,肿块型14个(77.8%),弥漫型4个(22.2%)。超声病灶检出率为100%,诊断符合率为22.2%(4/18)。结论乳腺淋巴瘤有一些特有的超声特征,超声有助于乳腺淋巴瘤的诊断。

Objective To analyze the ultrasonic features of patients with breast lymphoma.Methods The ultrasonic features of 16 pa-tients with breast lymphoma who were confirmed by pathology and had complete ultrasound examination and clinical information in the Second Affiliated Hospital of Zhejiang University School of Medicine from May 2010 to November 2021 were retrospectively analyzed.Results A total of 18 lesions were included in 16 patients with breast lymphoma.The patients were all female,and aged(55±15)years old,ranging from 29 to 71 years old.The diameter of the lesions was(4.4±2.6)cm,ranging from 1.1 to 10 cm.According to the characteristics of the internal echo of conventional ultarsound,the lesions were categorized into 3 types:3 lesions(16.7%)showed extremely low echo,9 lesions(50.0%)showed high and low echo structural disorders,and 6 lesions(33.3%)showed strip or grid type of high echo under low or extremely low echo background.According to the obvious boundary of the lesion,the lesions were divided into lump(77.8%,14/18)and diffuse(22.2%,4/18)types.The detection rate of lesions by ultrasound was 100.0%(18/18),and the diagnostic coincidence rate was 22.2%(4/18).Conclusions There are some unique ultrasound features of breast lymphoma.Ultrasound is helpful for the diagnosis of breast lym-phoma.