[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,(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].Medical Information,2018,(23):155-157,160.[doi:10.3969/j.issn.1006-1959.2018.23.045]
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乳腺导管内乳头状瘤超声诊断回顾性分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

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-guangXU Hua-ningHE Yu-bingCAI 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 glandIntraductal papillomaUltrasonography
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:

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更新日期/Last Update: 2018-12-17