乳腺肿块高频超声特征与病理学相关性分析.doc

乳腺肿块高频超声特征与病理学相关性分析
【摘要】目的鉴别诊断乳腺良恶性肿块,提高高频超声对乳腺良恶性肿块鉴别诊断的临床应用价值。方法应用二维超声观察肿块的形态、边界、包膜、内部回声、后方回声、纵横比、腋窝淋巴结、钙化等情况;对体积较小的肿块,采用三维超声和局部放大成像;病理学观察病理大体标本及镜下表现。结果 156个乳腺良恶性肿块在形态、边界、包膜、内部回声、后方回声、纵横比、腋窝淋巴结、钙化8个方面的差异均有统计学意义,%。结论乳腺良恶性肿块超声声像图表现与病理组织学特征密切相关。
【关键词】乳腺肿块二维超声三维超声;病理学
Abstract: Objective To evaluate the clinical value of high frequency ultrasound in differentiating the malignant breast neoplasms from the benign ones paring the ultrasound results with the pathological findings. Methods 156 cases of breast neoplasms were examined by 2D-ultrasound before operation to study the mass features, including the shape, boundary, capsule, internal echo, back echo, longitudinal-transverse ratio, axillary lymph node and calcification. 3D-ultrasound and local magnifying was used to study smaller masses. Pathological examination of the masses surgically removed were performed grossly and microscopically. Results Statistical study showed significant differences were pres
ent between the malignant and benign breast neoplasms in all of the 8 aspects mentioned above (P<). The coincidental rate between ultrasound and pathology was %. Conclusion The results of ultrasound examination for benign and malignant breast masses are closely correlated with the findings of pathology.
Key words: breast neoplasms; two-dimensional ultrasound; three-dimensional ultrasound;path