乳腺惡性腫瘤冠狀面匯聚征與臨床病理學(xué)相關(guān)因素分析
發(fā)布時間:2018-05-24 03:43
本文選題:超聲檢查 + 自動乳腺全容積成像; 參考:《中國超聲醫(yī)學(xué)雜志》2015年07期
【摘要】:目的探討乳腺惡性腫瘤冠狀面"匯聚征"與臨床病理學(xué)特征間的關(guān)系。方法應(yīng)用自動乳腺全容積成像技術(shù),回顧性分析經(jīng)手術(shù)病理證實(shí)的258個乳腺惡性腫瘤病灶的冠狀面特征(有無冠狀面"匯聚征"),并比較冠狀面特征在不同年齡、病灶部位、大小、同側(cè)腋窩淋巴結(jié)轉(zhuǎn)移情況、病理類型及分化程度等臨床病理學(xué)特征間的差異性。結(jié)果乳腺惡性腫瘤冠狀面"匯聚征"在不同年齡、病灶部位及大小間差異無統(tǒng)計學(xué)意義(P0.05);在導(dǎo)管原位癌不同級別(低、中級別及高級別)及浸潤性導(dǎo)管癌不同分級(Ⅰ、Ⅱ級及Ⅲ級)間差異無統(tǒng)計學(xué)意義(P0.05);浸潤性乳腺癌及有同側(cè)腋窩淋巴結(jié)轉(zhuǎn)移的冠狀面"匯聚征"出現(xiàn)率高于非浸潤性乳腺癌及無淋巴結(jié)轉(zhuǎn)移(P0.05)。以乳腺惡性腫瘤患者各臨床病理學(xué)特征為自變量,有無冠狀面"匯聚征"為因變量進(jìn)行Logistic回歸分析,浸潤性乳腺癌及同側(cè)腋窩淋巴結(jié)轉(zhuǎn)移為危險因素(回歸系數(shù)分別為2.135、0.611;OR值分別為8.454、1.842)。結(jié)論乳腺惡性腫瘤冠狀面"匯聚征"的出現(xiàn)率與腫瘤的浸潤性及有無同側(cè)腋窩淋巴結(jié)轉(zhuǎn)移有關(guān),可作為評價乳腺惡性腫瘤生物學(xué)行為的一項(xiàng)輔助指標(biāo),為臨床提供參考依據(jù)。
[Abstract]:Objective to investigate the relationship between coronal convergence sign and clinicopathological features of breast malignant tumors. Methods the coronal features of 258 lesions of breast malignant tumors confirmed by surgery and pathology were analyzed retrospectively by using automatic full volume mammography. The coronal features were compared at different age and location. The differences of clinicopathological features, such as size, ipsilateral axillary lymph node metastasis, pathological type and differentiation degree. Results the coronal "convergence sign" of breast malignant tumors had no statistical significance in different age, location and size of lesions, but had different grades (low, middle and high grade) and invasive ductal carcinoma grade (鈪,
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