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山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (11): 54-58.doi: 10.6040/j.issn.1671-7554.0.2016.1274

• 临床医学 • 上一篇    下一篇

非肿块型乳腺单纯性导管内癌声像图特征及病理学相关分析

张佩佩1,2,刘德泉3,王蓓2,赫淑倩4,李菲1,2,丁红宇2,孙洪军2   

  1. 1. 山东大学临床医学院, 山东 济南 250012;2. 山东大学附属千佛山医院超声诊疗科, 山东 济南 250014;3. 泰山医学院, 山东 泰安 271000;4. 山东大学附属千佛山医院病理科, 山东 济南 250014
  • 收稿日期:2016-10-09 出版日期:2017-11-10 发布日期:2017-11-10
  • 通讯作者: 孙洪军. E-mail:qysunhongjun@163.com丁红宇. E-mail:hongyuding@sina.com E-mail:qysunhongjun@163.com

Sonographic findings and pathological features of non-mass pure ductal carcinoma in situ

ZHANG Peipei1,2, LIU Dequan3, WANG Bei2, HE Shuqian4, LI Fei1,2, DING Hongyu2, SUN Hongjun2   

  1. 1. School of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Ultrasound, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, Shandong, China;
    3. Taishan Medical University, Taian 271000, Shandong, China;
    4. Department of Pathology, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, Shandong, China
  • Received:2016-10-09 Online:2017-11-10 Published:2017-11-10

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摘要： 目的 探讨非肿块型乳腺单纯性导管内癌声像图特征,并行病理学相关分析。 方法 收集2014年9月至2016年6月32例非肿块型乳腺单纯性导管内癌的声像图,分析其病灶的边缘、内部回声、局部腺体增生、微钙化及病灶内血流阻力指数(RI)等,同时行病理学分析。 结果 32例非肿块型乳腺单纯性导管内癌中常表现为乳腺腺体局部增生明显,内回声强弱不等,如“豹纹征”或“斑马纹征”,彩色多普勒可见病灶内较丰富的血流信号,RI>0.7,偶可见单纯乳导管扩张,病灶内偶可见微钙化灶。非肿块型乳腺单纯性导管内癌中高级别导管内癌占多数。 结论 非肿块型乳腺单纯性导管内癌常表现为乳腺腺体局部增生明显,内回声强弱不等;病理学类型常为高级别导管内癌;彩色多普勒及RI的测量可以辅助诊断非肿块型乳腺单纯性导管内癌。

关键词: 非肿块型, 声像图特征, 乳腺单纯性导管内癌, 病理学

Abstract: Objective To explore the characteristic sonographic findings and pathological features of non-mass pure ductal carcinoma in situ(DCIS). Methods The sonographic findings of 32 cases of non-mass pure DCIS treated during Sep. 2014 and Jun. 2016 were retrospectively analyzed. The edge of the lesion, internal echo, local gland hyperplasia, microcalcification and blood flow resistance index(RI)were reviewed. Results The major manifestations included focal gland hyperplasia and uneven internal echo intensity. Color Doppler showed rich blood flow around the lesions, with RI>0.7. Mammoductal ectasis and microcalcifications could be observed. Most DCIS were of high grade. Conclusion Non-mass pure DCIS manifests with focal gland hyperplasia disorders and uneven internal echo intensity. Most DCISs are of high pathological grade. Color Doppler and detection of RI can be helpful in the diagnosis of DCIS.

Key words: Breast pure ductal carcinoma in situ, Sonographic findings, Non-mass, Pathology

中图分类号: 

  • R445.1
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