[1]林翠君,李丽红,陈惠莲,等.乳腺非典型增生的综合影像学表现[J].国际放射医学核医学杂志,2015,39(3):216-219.[doi:10.3760/cma.j.issn.1673-4114.2015.03.006]
 Lin Cuijun,Li Lihong,Chen Huilian,et al.Imaging features of digital mammography and sonography on mammary atypical hyperplasia[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(3):216-219.[doi:10.3760/cma.j.issn.1673-4114.2015.03.006]
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
39
期数:
2015年第3期
页码:
216-219
栏目:
出版日期:
2015-05-25

文章信息/Info

Title:
Imaging features of digital mammography and sonography on mammary atypical hyperplasia
作者:
林翠君 李丽红 陈惠莲 易智君 黄柏锋
广东省惠州市中心人民医院放射科, 惠州, 516008
Author(s):
Lin Cuijun Li Lihong Chen Huilian Yi Zhijun Huang Baifeng
Department of Radiology, Huizhou Municipal Central Hospital, Huizhou 516008, China
关键词:
乳腺非典型增生乳房X线摄影术超声检查多普勒彩色
Keywords:
Mammary atypical hyperplasiaMammographyUltrasonography doppler color
DOI:
10.3760/cma.j.issn.1673-4114.2015.03.006
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.

参考文献/References:

[1] Page DL. Cancer risk assessment in benign breast biopsies[J]. Hum Pathol, 1986, 17(9):871-874.
[2] 阚秀, 陈定宝. 再谈乳腺交界性病变与DIN分级系统[J/OL]. 中华乳腺病杂志(电子版),2013, 7(3):157-159[2014-10-08]. http://www.zhrxb22.com/oa/darticle.aspx?type=view&id=20130302.
[3] Lakhani SR. The transition from hyperplasia to invasive carcinoma of the breast[J]. J Pathol, 1999, 187(3):272-278.
[4] 赵玉梅, 郎荣刚, 张俊义. 微小钙化在乳腺疾病X线诊断中的意义[J]. 天津医科大学学报, 2008, 14(2):219-222.
[5] 许艳春, 姚晓虹,祝明洁. 乳腺非典型性导管增生的研究进展[J]. 上海交通大学学报:医学版, 2013, 33(4):516-519.
[6] 李坤成, 孙泽民. 乳腺影像诊断学[M]. 北京:人民卫生出版社, 2003:101-102.
[7] Murphy IG, Dillon MF, Doherty AO, et al. Analysis of patients with false negative mammography and symptomatic breast carcinoma[J]. J Surg Oncol, 2007, 96(6):457-463.
[8] Lee CH, Dershaw DD, Kopans D, et al. Breast cancer screening with imaging:recommentlations Irom the society of breast imaging and the ACR on the use of mammography, breast MRI, breast ultra-sound, and other technologies for the detection of clinically occult breast cancer[J]. J Am Coll Radiol, 2010, 7(1):18-27.
[9] 许光中, 李凯, 封国生. 3种影像学检查方法在乳腺癌早期诊断中的作用[J]. 首都医科大学学报, 2009, 30(3):293-297.
[10] Bluemke DA, Gatsonis CA, Chen MH, et al. Magnetic resonance imaging of the breast prior to biopsy[J]. JAMA, 2004, 292(22):2375-2742.

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备注/Memo

备注/Memo:
收稿日期:2014-10-08。
通讯作者:林翠君,Email:lincuijun@163.com
更新日期/Last Update: 1900-01-01