本文選題：超聲檢查 + 乳腺腫瘤��； 參考：《中國醫(yī)學(xué)影像技術(shù)》2017年03期

【摘要】：目的觀察含有鱗狀細(xì)胞癌成分的乳腺化生性癌(MCSC)的聲像圖和病理學(xué)特征。方法回顧性分析7例經(jīng)手術(shù)病理檢查證實(shí)的MCSC患者的二維聲像圖及CDFI聲像圖特征,并與病理學(xué)表現(xiàn)進(jìn)行對照分析。結(jié)果 7例MCSC病灶均為單發(fā);最大徑2.6~5.1cm;6例為混合回聲,1例為低回聲,6例病灶內(nèi)均可見大小不一的無回聲區(qū);7例形態(tài)均呈微小或小分葉狀、邊緣模糊。CDFI顯示病灶實(shí)性部分有較豐富血流,4例為Ⅲ級血流信號,2例為Ⅱ級血流信號,1例為Ⅰ級血流信號,頻譜顯示為高阻力動(dòng)脈血流(阻力指數(shù)0.75~0.97)。術(shù)后病理大體標(biāo)本示6例為囊實(shí)性,1例為實(shí)性,鏡下病理5例表現(xiàn)為腺鱗癌,2例表現(xiàn)為純鱗狀細(xì)胞癌。免疫組化顯示雌、孕激素受體和人表皮生長因子受體均為陰性者(三陰乳腺癌)4例。結(jié)論 MCSC聲像圖特征為體積較大、囊實(shí)性混合回聲、瘤體后方回聲增強(qiáng)、實(shí)性回聲內(nèi)血供豐富且動(dòng)脈阻力高。
[Abstract]:Objective to observe the sonographic and pathological features of MCSCs containing squamous cell carcinoma (SCC).Methods the features of two-dimensional sonogram and CDFI sonogram in 7 patients with MCSC confirmed by operation and pathology were analyzed retrospectively and compared with pathological findings.Results in 7 cases of MCSC, the lesions were all single, and the maximum diameter of 2.6 ~ 5.1 cm ~ (-1) was mixed echo in 6 cases. In 6 cases of hypoechoic lesions, 7 cases showed small or small lobular anechoic areas with different sizes.The margin was blurred. CDFI showed abundant blood flow in the solid part of the lesion. 4 cases were grade 鈪，

本文編號：1754666