文章摘要

乳腺实性乳头状癌的超声表现

作者: 1巩海燕, 1栗翠英, 1张媛媛, 2周文斌, 1邓晶, 1王慧
1 南京医科大学第一附属医院超声诊断科，南京 210029
2 南京医科大学第一附属医院乳腺外科，南京 210029
通讯: 张媛媛 Email: queenie_zhangyy@126.com
DOI: 10.3978/j.issn.2095-6959.2022.08.012
基金: 国家自然科学基金(8177070772)。

摘要

目的：探讨乳腺实性乳头状癌(solid papillary carcinoma，SPC)的超声表现。方法：回顾性分析2015年1月至2020年3月在南京医科大学第一附属医院经手术病理标本证实的65例SPC的超声表现。结果：SPC肿块大多表现为低回声，内部回声不均，边缘清晰，形态椭圆形，平行位，不伴钙化，后方回声不变，Adler分级II~III，阻力指数(resistance index，RI)≤0.7，腋窝淋巴结无转移，不伴导管扩张。与原位型相比，伴浸润型出现以下恶性肿瘤征象的可能性较大：肿块较大，边缘毛刺或成角，形态不规则，非平行位，伴有钙化，腋窝淋巴结发生转移。结论：SPC较罕见，在超声声像图上，SPC具有一定的特征性，但超声诊断准确率不高。结合患者的年龄、病史、临床表现，可提高超声诊断SPC的准确率。
关键词： 超声；实性；乳头状；乳腺肿瘤

Ultrasonographic findings of solid papillary carcinoma of the breast

Authors: 1GONG Haiyan, 1LI Cuiying, 1ZHANG Yuanyuan, 2ZHOU Wenbin, 1DENG Jing, 1WANG Hui
1 Department of Ultrasound, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
2 Department of Breast Surgery, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

CorrespondingAuthor: ZHANG Yuanyuan Email: queenie_zhangyy@126.com

DOI: 10.3978/j.issn.2095-6959.2022.08.012

Foundation: This work was supported by the National Natural Science Foundation of China (8177070772).

Abstract

Objective: To investigate the ultrasonographic characteristics of solid papillary carcinoma (SPC) of the breast. Methods: We retrospectively analyzed the ultrasonographic characteristics of 65 patients with SPC confirmed by pathology in First Affiliated Hospital of Nanjing Medical University from January 2015 to March 2020. Results: Most of SPC showed masses with hypoechoic, uneven echo, finishing edge, oval, parallel orientation, no calcification, no change of posterior echo, Adler II–III, resistance index (RI) ≤0.7, no lymph node metastasis, and no duct expansion in ultrasound. Compared with SPC in situ, SPC with invasion likely showed the following malignant features: masses with larger size, brim burr or angular margin, irregular shape, non-parallel orientation, calcification, and axillary lymph node metastasis. Conclusion: SPC is rare. It has certain ultrasonographic characteristics, but the accuracy of ultrasonic diagnosis is not high. Combined with the age, medical history, and clinical manifestations of the patients, the diagnosis accuracy of SPC in ultrasound can be improved. 

Keywords： ultrasonography; solid; papillary; breast carcinoma

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