摘要
目的探讨乳腺腺样囊性癌的超声图像特征,提高对该病的图像认识。方法回顾性分析经组织活检或术后病理确诊的14例乳腺腺样囊性癌患者(14个病灶)的超声图像特征。结果 14例患者声像图表现为:肿块形态不规则,边缘不光整,长轴与皮肤平行;10例呈低回声,4例呈囊实混合性回声;5例肿块后方回声增强,1例衰减,8例无变化;3例肿块内见点状钙化,9例伴周围结构异常;CDFI示肿块内未探及或仅见少许血流信号。结论乳腺腺样囊性癌声像图表现无特异性,术前超声诊断较困难。
Objective To explore the ultrasonic features of adenoid cystic carcinoma of the breast（ACCB）in order to improve the corresponding knowledge. Methods The ultrasound images with 14 patients of ACCB（14 nodules） confirmed by pathology or needle biopsy were retrospectively analyzed. Results The ultrasonography of 14 patients showed that the tumor was an irregular mass with non-circumscribed margin and the long axis was parallel orientation to the skin. 10 cases appeared hypoechoic and 4 cases were complex cystic lesions. 5 cases showed posterior acoustic enhancement and 1 case had posterior acoustic shadow with the remaining 8 cases absence of posterior acoustic feature. Microcalcification could be found in 3 cases and architectural distortion in 9 cases. All the masses were detected with none or minimal vascularity on color Doppler examination.Conclusion There are nonspecific imaging features of ACCB by ultrasound,and it is difficult to clarify the diagnosis before operation.
出处
《临床超声医学杂志》
2017年第9期625-627,共3页
Journal of Clinical Ultrasound in Medicine
基金
国家自然科学基金面上项目(81571694)
关键词
超声检查
腺样囊性癌
乳腺
Ultrasonography
Adenoid cystic carcinoma
breast
