本文選題：乳腺 + 超聲檢查��； 參考：《中國醫(yī)學(xué)科學(xué)院學(xué)報(bào)》2015年05期

【摘要】：目的分析超聲乳腺影像報(bào)告和數(shù)據(jù)系統(tǒng)(BI-RADS)分類4類及以上乳腺占位性病變中高回聲病變的發(fā)生率及其中乳腺癌所占比例,探討乳腺高回聲占位性病變的超聲表現(xiàn)與其組織病理學(xué)結(jié)構(gòu)的關(guān)系,減少誤診。方法回顧性分析2012年6月至2014年3月間在北京大學(xué)第三醫(yī)院接受經(jīng)超聲引導(dǎo)下穿刺活檢或手術(shù)取得病理結(jié)果的848例乳腺占位性病變,篩選出其中的高回聲病變,對(duì)病變的超聲表現(xiàn)進(jìn)行分析并統(tǒng)計(jì)高回聲病變所占比例及其中乳腺癌的發(fā)生率。結(jié)果848例乳腺占位性病變中,高回聲表現(xiàn)者8例(0.9%),其中乳腺良性病變6例,乳腺癌2例。高回聲乳腺癌在高回聲病變中所占比例高達(dá)25%(2/8),在全部乳腺癌中的比例為0.7%(2/280)。乳腺高回聲病變存在炎性水腫、陳舊積乳、大量砂礫體等病理基礎(chǔ),但良惡性病變?cè)谛螒B(tài)、回聲特征上無明顯差異。結(jié)論乳腺高回聲占位性病變及高回聲型乳腺癌盡管少見,但高回聲型乳腺癌在高回聲占位性病變中的發(fā)生比例并不低,值得重視并需結(jié)合病史及其他方法進(jìn)行鑒別。
[Abstract]:Objective to analyze the incidence of hyperechoic lesions in 4 types of breast space occupying lesions and the proportion of breast cancer in 4 categories and above, and to explore the relationship between ultrasound and histopathological structure of hyperechoic lesions of the breast, and to reduce misdiagnosis. Methods Retrospective analysis from June 2012 to 20 In March, 848 cases of breast space occupying lesions were selected by ultrasound guided biopsy or surgery in No.3 Hospital of Peking University between 14 years. The hyperechoic lesions were screened out. The ultrasonic manifestations of the lesions were analyzed and the proportion of hyperechoic lesions and the incidence of middle breast cancer were statistically analyzed. Results 848 cases of breast space occupying lesions were found. Among the lesions, 8 cases (0.9%) were hyperechoic, including 6 cases of benign breast lesions and 2 cases of breast cancer. The proportion of hyperechoic breast cancer in hyperechoic lesions was 25% (2/8), and the proportion in all breast cancers was 0.7% (2/280). The pathological basis of hyperechoic lesions of the breast was inflammatory edema, old milk, and large amount of gravel, but the benign and malignant lesions were in the breast. Conclusion hyperechoic breast cancer and hyperechoic breast cancer are rare, but the proportion of hyperechoic breast cancer in high echo space occupying lesions is not low. It is worthy of attention and should be identified in combination with medical history and other methods.
【作者單位】： 北京大學(xué)第三醫(yī)院超聲科;北京大學(xué)腫瘤醫(yī)院乳腺中心;
【基金】：科技部國家科技支撐計(jì)劃(2013BAI17B02)~~
【分類號(hào)】：R445.1;R737.9

【共引文獻(xiàn)】

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