|
|
Preliminary investigate on the application value of the ultrasonic classification in breast sclerosing adenosis |
CAI Qing-yuan, XIE Si-pei |
(Department of Ultrasound, the First Hospital of Quanzhou, Quanzhou Fujian 362000, China) |
|
|
Abstract Objective: To investigate the classificatory value of color doppler ultrasonography in breast sclerosing adenosis(SA). Methods: Preoperative sonography of 23 SA patients(pathological confirmed) from January 2010 to December 2015 were retrospectively analyzed. SA lesions were classified as localized sclerosing adenosis(LSA) or tuberous sclerosing adenosis(TSA). Results: ①The average age of LSA group was younger than TSA;②21.74% SA patients were misdiagnosed as malignant lesions; ③The detective rates of acoustic halo, focal calcification and the internal blood flow between two SA groups had no statistical significant differences(P=0.812, 0.584, 0.606, P>0.05). Meanwhile, there were statistical significant differences in internal echo, shape and margin border between two SA groups(P=0.000, 0.000, 0.001, 0.034, P<0.05). Conclusion: Further analyzation of characteristic signs from color Doppler ultrasonography is useful in classification of LAS and TAS.
|
Received: 18 August 2016
|
|
|
|
|
[1]Gunhan-Bilgen I, Memis A, Ustun EE, et al. Sclerosing adenosis: mammographic and ultrasonographic findings with clinical and histopathological correlation[J]. Eur J Radiol, 2002, 44(3): 232-238.
[2]Adler DD, Carson PL, Rubin JM, et al. Doppler ultrasound color flow imaging in the study of breast cancer: preliminary findings[J]. Ultrasound Med Biol, 1990, 16(6): 553-559.
[3]回允中. 外科病理学[M]. 北京:北京大学医学出版社,2006:507.
[4]张建梅,高颖,温廷国. 硬化性乳腺病的X线诊断及病理改变[J]. 实用放射学杂志,2008,24(2):228-230.
[5]候莹,林礼务,薛恩生,等. 超声对乳腺硬化性腺病的诊断与鉴别诊断价值[J]. 中华超声影像学杂志,2014,23(10):889-892.
[6]李树玲. 乳腺肿瘤学[M]. 北京:科学技术文献出版社,2007:89.
[7]刘卫敏,孟晓春,陈健宁,等. 乳腺硬化性腺病的临床与影像学诊断[J]. 中华临床医师杂志:电子版,2014,8(22):4157-4160.
[8]Hartmann LC, Sellers TA, Frost MH, et al. Benign breast disease and the risk of breast cancer[J]. N Engl J Med, 2005, 353(3): 229-237.
[9]姚洁洁,詹维伟,朱樱,等. 超声诊断乳腺硬化性腺病的价值[J]. 中华医学超声杂志:电子版,2014,11(6):456-460.
[10]Yoshida A, Hayashi N, Akiyama F, et al. Ductal carcinoma in situ that involves sclerosing adenosis: high frequency of bilateral breast cancer occurrence[J]. Clin Breast Cancer, 2012, 12(6): 398-403.
[11]Taskin F, Koseoglu K, Unsal A, et al. Sclerosing adenosis of the breast: radiologic appearance and efficiency of core needle biopsy[J]. Diagn Interv Radiol, 2011, 17(4): 311-316. |
|
|
|