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目的探析乳腺浸润性导管癌的超声诊断特征。方法 40例经手术、病理证实为乳腺浸润性导管癌的患者为研究对象,均给予超声检查,总结超声声像图特征。结果 40例患者中,形态学分型:团块型23例(57.5%),结节型16例(40.0%),囊实型1例(2.5%)。肿块形状:不规则22例(55.0%),圆形14例(35.0%),卵圆形4例(10.0%)。边缘:不规整26例(65.0%),规整12例(30.0%),浅分叶2例(5.0%)。内部回声:低回声39例(97.5%),等回声1例(2.5%)。后方回声:回声衰减15例(37.5%),回声不变9例(22.5%)。是否钙化:钙化31例(77.5%),无钙化9例(22.5%)。淋巴结转移16例(40.0%)。肿块内存在血流信号32例(80.0%),0级1例(3.1%),1级1例(3.1%),2级17例(53.1%),3级13例(40.6%)。结论在超声声像图中,乳腺浸润性导管癌表现特征较为明显,是乳腺浸润性导管癌诊断的有效方法,可提高临床诊断符合率,为临床治疗提供可靠参考。
Objective To investigate the diagnostic characteristics of breast invasive ductal carcinoma by ultrasonography. Methods Forty patients with breast invasive ductal carcinoma confirmed by surgery and pathology were enrolled in this study. All of them were given ultrasonography to summarize the characteristics of ultrasonography. Results Among the 40 patients, morphological classification was found in 23 cases (57.5%) of lumps, 16 cases (40.0%) of nodules and 1 case (2.5%) of cystic nests. Tumor shape: irregular in 22 cases (55.0%), round in 14 cases (35.0%), oval in 4 cases (10.0%). Margins: irregular in 26 cases (65.0%), regular 12 cases (30.0%), shallow lobes in 2 cases (5.0%). Internal echo: 39 cases of hypoechoic (97.5%), 1 case of equal echo (2.5%). Echo back: Echo attenuation in 15 cases (37.5%), echo unchanged in 9 cases (22.5%). Whether calcification: calcification in 31 cases (77.5%), no calcification in 9 cases (22.5%). Lymph node metastasis in 16 cases (40.0%). There were 32 cases (80.0%) in grade 1, grade 1 (3.1%), grade 1 in 1 case (3.1%), grade 2 in 17 cases (53.1%) and grade 3 in 13 cases (40.6%). Conclusions In the sonography, the characteristic of invasive ductal carcinoma of the breast is more obvious, which is an effective method for the diagnosis of invasive ductal carcinoma of the breast. It can improve the coincidence rate of clinical diagnosis and provide a reliable reference for clinical treatment.