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乳腺良性肿块与乳腺癌患者的超声弹性成像对比 被引量:4

Ultrasound Elasticity Imaging Contrast between Benign Breast Disease and Breast Cancer
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摘要 目的:对比乳腺良性肿块与乳腺癌患者的超声弹性成像,明确超声弹性成像的应用价值。方法:选取2014年5月-2016年1月我院乳腺肿块患者128人次共146例肿块,根据病理结果分为乳腺良性肿块和乳腺癌,比较超声弹性成像与病理结果。结果:128个患者共计肿块146例,99例结节为良性肿块,其中32例为乳腺纤维腺瘤,29例为乳腺增生结节,20例为乳腺脂肪瘤,6例为乳腺血管脂肪瘤,4例为乳腺导管腺瘤,8例为乳腺导管内乳头状瘤;47例肿块为恶性,其中37例肿块为浸润性导管癌,9例肿块为粘液腺癌,1例肿块为硬癌。乳腺良性肿块患者81人次共99例,其中1分43例(43.43%),2分34例(34.34%),3分18例(18.18%),4分4例(4.04%);乳腺癌患者47例,其中3分9例(19.15%),4分20例(42.55%),5分18例(38.30%)。超声弹性成像鉴别乳腺良性肿块与乳腺癌的灵敏度为95.96%,特异性为80.85%,准确度为91.10%,阴性预测值为90.48%,阳性预测值为91.35%。结论:超声弹性成像鉴别乳腺良性肿块与乳腺癌的灵敏度高达95.96%,具有较高准确度,可辅助诊断乳腺疾病。 Objective: To compare ultrasound elastography between patients with benign breast disease and breast cancer, and in order to determine the value of ultrasound elastography. Methods: 146 lumps from 128 cases with breast mass admitted to our hospital from May 2014 to January 2016 were selected and divided into benign breast lump and breast cancer according to pathological results. Then the ultrasound elastography and pathological results were compared. Results: Among the 146 lumps, 99 were benign tumor nodules, 32 of the 99 cases were breast fibroadenoma, 29 nodular hyperplasia, 20 breast lipoma, 6 breast Angiolipoma, 4 ductal adenoma and 8 intraductal papilloma. 47 of the 146 cases were malignant tumors, including 37 invasive ductal carcinoma tumor, 9 mucinous adenocarcinoma tumor.and 1 hard lumps of cancer. Out of the 99 benign breast lesions, there were 43 cases with 1 point (43.43%), 34 with 2 points (34.34%), 18 with 3 points (18.18%), and 4 with 4 points (4.04%). Among the 47 cases of breast cancer, there were 9 with 3 points (19.15%), 20 with 4 points (42.55%), and 18 with 5 points (38.30%). Ultrasound elastography application in differentiating benign breast disease and breast cancer had a sensitivity of 95.96%, a specificity of 80.85%, an accuracy of 91.10%, a negative predictive value of 90.48% and a positive predictive value of 91.35%. Conclusion: Ultrasound elastography has a sensitivity of 95.56% in differentiating benign breast disease from breast cancer. It has higher accuracy and can assist in diagnosing breast disease.
作者 金秀红 赵奕文 王岚 黎婧 何萍 JIN Xiu-hong1, ZHAO Yi-wen1, WANG Lan1, LI Jing, HE Ping2 (1Department of Ultrasonography, Shanghai Fengxian District Central Hospital, Shanghai, 201499, China; 2 Department of ultrasound, the First Maternal and Infant Health-Care Hospital of Shanghai, Shanghai, 200040, China)
出处 《现代生物医学进展》 CAS 2017年第12期2286-2289,共4页 Progress in Modern Biomedicine
基金 国家自然科学基金青年科学基金项目(81601614)
关键词 乳腺良性肿块 乳腺癌 超声弹性成像 特异性 Benign breast disease Breast cancer Ultrasound elastography Specificity
作者简介 金秀红(1974-),本科,主要从事腹部超声、小器官超声、阴超、产科畸形筛查及常规超声、心脏超声,E—mail:1326309544@qq.com 通讯作者:何萍(1980-),主治医师,主要从事妇产科疾病的超声诊断与研究,E-mail:time1380@sina.com
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