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超声检查诊断乳腺良、恶性肿瘤的价值 被引量:8

The Value of Ultasonography in the Diagnosis of Breast Carcinoma
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摘要 目的 :探讨乳腺良、恶性肿瘤的二维和彩色多普勒超声的特征性改变。材料和方法 :超声检查 82例乳腺肿块 ,并与手术病理对照 ,分析良、恶性肿瘤的声像图特点。结果 :乳腺恶性肿瘤形态不规则 ,边界呈毛刺状 ,包膜不完整或无包膜 ,特别是病灶内微小钙化点与穿支血管的检出率分别为 44 .2 % (2 3 /5 2 )和 82 .7% (4 3 /5 2 ) ,明显高于良性肿瘤 (P <0 .0 1)。结论 :超声检查对乳腺肿瘤的诊断与鉴别诊断有重要价值 ,如肿块中探查到微小钙化点 /穿支血管 ,常提示乳腺癌。 Purpose: To compare the characteristic changes of benign and malignant breast lesions by two-dimensional and color Doppler ultrasound. Materials and Methods: Fifty-two cases with breast carcinoma and 30 with benign lesion were examined by ultrasound and the results were compared with that of surgery and pathology. Results: Most of the malignant lesions were shown irregular in shape, with no or incomplete capsule. The most outstanding sonographic features of the breast malignancy were micro-calcification and perforating blood vessels, appearing in 44.2%(23/52) and 82.7%(43/52) of the cases, which differed significantly with the benign lesions. Conclusion: The ultrasound is of great value in differential diagnosis of breast lesion. Micro-calcification and perforating vessels in breast mass strongly suggested the diagnosis of breast cancer.
出处 《中国医学影像学杂志》 CSCD 2005年第1期26-28,共3页 Chinese Journal of Medical Imaging
关键词 乳腺肿瘤 二维超声 彩色多普勒 诊断 breast carcinoma two-dimensional ultrasound color Doppler
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