乳腺非典型增生的综合影像学表现

Imaging features of digital mammography and sonography on mammary atypical hyperplasia

    摘要
  • 摘要:
    目的 探讨乳腺非典型增生数字化乳腺X线摄影及彩色多普勒超声检查的影像学表现。
    方法 回顾性分析64例经手术病理证实为乳腺非典型增生并同时进行了数字化乳腺X线摄影检查及乳腺彩色多普勒超声检查的患者资料，分析其综合影像学特征。
    结果 在64例乳腺非典型增生的患者中，经乳腺X线摄影检查阳性的患者为8例（彩色多普勒超声检查为阴性）；经彩色多普勒超声检查阳性的患者为7例（乳腺X线摄影检查为阴性）；经以上2项检查均阳性的患者为46例、均阴性的为3例（但触诊可触及肿块）。乳腺X线摄影、彩色多普勒超声及2项检查联合应用的准确率分别为84.4%、82.8%和95.3%。
    结论 综合数字化乳腺X线摄影检查及彩色多普勒超声检查影像学表现并结合临床触诊，全面评估以提高乳腺非典型增生的诊断水平，有效降低乳腺癌的发生率。

     

    Abstract:
    Objective To assess the imaging features of mammary atypical hyperplasia.
    Methods Sixty-four histologically confirmed mammary atypical hyperplasia cases were imaged using mammography and ultrasonography, and their imaging features were retrospectively studied.
    Results A total of 8 cases with 84.4% diagnostic rate were mammography positive and ultrasonography negative; 7 cases with 82.8% diagnostic rate were ultrasonography positive and mammography negative; 46 cases with 95.3% diagnostic rate were all mammography and ultrasonography positive; and 3 cases were all mammography and ultrasonography negative but with palpable lesions.
    Conclusion This study showed that clinical detection and diagnosis of mammary atypical hyperplasia require comprehensive imaging.

     

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