[1]宋旭光,许华宁,何玉冰,等.乳腺导管内乳头状瘤超声诊断回顾性分析[J].医学信息,2018,31(23):155-157,160.[doi:10.3969/j.issn.1006-1959.2018.23.045]
　SONG Xu-guang,XU Hua-ning,HE Yu-bing,et al.Retrospective Analysis of Ultrasound Diagnosis of Intraductal Papilloma of the Breast[J].Journal of Medical Information,2018,31(23):155-157,160.[doi:10.3969/j.issn.1006-1959.2018.23.045]
点击复制

乳腺导管内乳头状瘤超声诊断回顾性分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年23期
页码:
155-157,160
栏目:
诊疗技术
出版日期:
2018-12-01

文章信息/Info

Title:
Retrospective Analysis of Ultrasound Diagnosis of Intraductal Papilloma of the Breast
文章编号:
1006-1959（2018）23-0155-04
作者:
宋旭光; 许华宁; 何玉冰; 蔡 婷
南京中医药大学附属医院超声医学科，江苏 南京 210029
Author(s):
SONG Xu-guang; XU Hua-ning; HE Yu-bing; CAI Ting
Department of Ultrasonic Medicine,Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029,Jiangsu,China
关键词:
乳腺; 导管内乳头状瘤; 超声检查
Keywords:
Mammary gland; Intraductal papilloma; Ultrasonography
分类号:
R737.9
DOI:
10.3969/j.issn.1006-1959.2018.23.045
文献标志码:
B
摘要:
回顾性分析乳腺导管内乳头状瘤超声图像特点及误诊原因，提高诊断准确率。方法 回顾性分析我院经手术病理证实的50例乳腺导管内乳头状瘤患者的彩色多普勒超声图像特点，根据声像图特征分为5型，观察超声图像分型、血流信号分类及BI-RADS分类标准。结果 50例患者共65个病灶，37个病灶超声诊断与病理结果相符合，诊断准确率为56.92%。其中Ⅰ型：导管扩张伴导管内实性结节，19个病灶，2个误诊；Ⅱ型：导管扩张伴远端中断处实性团块，5个病灶，1个误诊；Ⅲ型：囊实性混合回声团块，15个病灶，5个误诊；Ⅳ型：实性团块而无导管扩张，24个病灶，19个误诊；Ⅴ型：单纯导管扩张，2个病灶，2个误诊。彩色血流信号结果：23个病灶表现为0级；19个病灶表现为Ⅰ级；10个病灶表现为Ⅱ级；13个病灶表现为Ⅲ级。BI-RADS分类结果：2类2个病灶；3类59个病灶；4A类3个病灶；4C类1个病灶。结论 乳腺导管内乳头状瘤的超声表现有多种类型，诊断时应结合临床表现，运用多种超声成像方法综合诊断，以便进一步提高诊断准确率。
Abstract:
Objective To retrospectively analyze the ultrasonographic features and misdiagnosis reasons of intraductal papilloma of mammary gland and improve the diagnostic accuracy. Methods The color doppler ultrasonographic features of intraductal papilloma of mammary gland in 50 patients confirmed by surgery and pathology in our hospital were retrospectively analyzed. According to the ultrasonographic features, they were divided into 5 types, and the ultrasonic image classification, blood flow signal classification and BI-RADS classification criteria were observed. Results There were 65 lesions in 50 patients, 37 lesions were diagnosed by ultrasound in accordance with pathological results, and the diagnostic accuracy was 56.92%. The Ⅰ type: duct expansion with intraductal solid nodules, 19 lesions, 2 misdiagnosis; Ⅱ type: distal catheter with intermitting position or solid mass,5 lesions, 1 misdiagnosis; Ⅲ type: cystic or solid mixed echo conglomeration, 15 lesions, 5 misdiagnosed; Ⅳ type: solid mass without duct expansion, 24 lesions, 19 misdiagnosed; Ⅴ type: pure duct expansion, and 2 lesions, 2 misdiagnosis. Color blood flow signal results: 23 lesions showed grade 0; 19 lesions characterized by Ⅰ level; 10 lesions characterized by Ⅱ level; 13 lesions characterized by Ⅲ level. BI-RADS classification results: 2 categories and 2 lesions; 59 lesions in 3 categories; category 4A: 3 lesions; category 4C: 1 lesion. Conclusion There are many types of ultrasound findings of intraductal papilloma of the breast. The diagnosis should be combined with clinical manifestations, and a variety of ultrasound imaging methods should be used for comprehensive diagnosis to further improve the diagnostic accuracy.

参考文献/References:

[1]Kim SY,Kim EK,Lee HS,et al.Asymotomatic Benign Papilloma Without Atypia Diagnosed at Ultrasonography-Guided 14-Gauge Core Needle Biopsy:Which Subgroup can be Managed by Observation[J].Annals of Surgical Oncology,2016,23(6):1860-1866.
[2]Gkali CA,Chalazonitis AN,Feida E,et al.Breast Adenomyoepithelioma:Ultrasonography,Digital Mammography,Contrast-Enhanced Digital Mammography,and Pathology Findings of This Tape of Breast Tumor[J].Ultrasound Quarterly,2015,31(3):185-188.
[3]Yang Y,Suzuki K,Abe E,et al.The significance of combined CK5/6 and p63 immunohistochemistry in predicting the risks of subsequent carcinoma development in intraductal papilloma of the breast[J].Pathol Int,2015,65(2):81-88.
[4]Li YY,Liu C,Geng J,et al.The differences of phyllodes and acoustic attenuation in breast lesions diagnosed with Breast Imaging-Reporting and Data System for Ultrasonography (BI-RADS-US)category 4C[J].European Journal of Gynaecolpgical Oncology,2015,36(3):294-297.
[5]Matsubayashi RN,Imanishi M,Nakagawa S,et al.Breast ultrasound elastography and magnetic resonance of fibrotic changes of breast disease:correlations between elastography findings and pathologic and short Tau inversion recovery imaging results,including the enhancement ratio and apparent diffusion coefficient[J].J Comput Asssit Tomogr,2015,39(1):94-101.
[6]Yi W,Xu F,Zou Q,et al.Completely removing solitary intraductal papillomas using Mammotome system guided by ultrasonography is feasible and safe[J].World Journal of Surgery,2013,37(11):2613-2617.
[7]梁建雄.乳腺导管内乳头状瘤的诊断和治疗进展[J].中国癌症防治杂志,2014,6(3):318-321.
[8]王玉敏,红华,王芳,等.彩色多普勒超声对乳腺导管内乳头状瘤的诊断价值[J].医学影像学杂志,2017,27(1):79-81.

相似文献/References:

[1]王文平,吕小勇.常规超声对乳腺X线单纯微钙化病灶的诊断价值[J].医学信息,2018,31(12):6.[doi:10.3969/j.issn.1006-1959.2018.12.002]
　WANG Wen-ping,LV Xiao-yong.Diagnostic Value of Conventional Ultrasound for Breast X Ray Simple Microcalcification Lesions[J].Journal of Medical Information,2018,31(23):6.[doi:10.3969/j.issn.1006-1959.2018.12.002]
[2]王 露,赵苏苏,陈思敏,等.乳腺柱状细胞病变与临床病理的关系[J].医学信息,2018,31(13):13.[doi:10.3969/j.issn.1006-1959.2018.13.004]
　WANG Lu,ZHAO Su-su,CHEN Si-min,et al.The Relationship between the Clinicopathological and Pathological Changes of Mammary Columnar Cell[J].Journal of Medical Information,2018,31(23):13.[doi:10.3969/j.issn.1006-1959.2018.13.004]
[3]尹淑红,王淑云.乳腺纤维腺病的超声分析[J].医学信息,2018,31(18):157.[doi:10.3969/j.issn.1006-1959.2018.18.051]
　YIN Shu-hong,WANG Shu-yun.Ultrasound Analysis of Fibroadenosis of Breast[J].Journal of Medical Information,2018,31(23):157.[doi:10.3969/j.issn.1006-1959.2018.18.051]
[4]向川南,张明伟,姚 健.乳腺颗粒细胞瘤1例报道并文献复习[J].医学信息,2019,32(24):189.[doi:10.3969/j.issn.1006-1959.2019.24.071]

更新日期/Last Update: 2018-12-17