【摘要】 目的探讨彩色多普勒超声在乳腺导管内乳头状癌(IPC)与外周型导管内乳头状瘤(PP)鉴别诊断中的价值。方法回顾性分析经手术病理证实的乳腺IPC 24例、PP 55例的术前彩色多普勒超声声像图,并与病理结果进行对照分析。结果 IPC单发性多见,声像图表现肿块型尤其是囊实性肿块的最大径大于PP(P=0.004、0.000),实性肿块周边伴导管扩张的发生率低于PP(P=0.038),而病灶的形态、纵横比、内部回声、边界、周围高回声晕、钙化灶、血流分级两组比较差异无统计学意义(P=0.159、0.619、0.610、0.082、0.167、0.384、0.517)。IPC组超声诊断为恶性病变占79.2%(19/24),PP组超声诊断为良性病变占67.3%(37/55)。结论超声对乳腺IPC与PP的鉴别诊断具有重要的临床价值。更多还原

【Abstract】 Objective To investigate the value of color Doppler ultrasonography in differential diagnosis of intraductal papillary carcinoma(IPC) and peripheral papilloma(PP) of breast.Methods Preoperative sonography in 24 patients with IPC and 55 patients with PP confirmed by pathology were retrospectively analyzed.Results Lesions of IPC were usually single.Compared with PP,the maximal diameter of mass,especially the cystic-solid mass in IPC group was larger(P=0.004,0.000),and the incidence rate of peripheral dilatation in solid mass is lower(P = 0.038).No statistical differences between IPC and PP was showed on the morphous,L/T ratio,internal echo,border,hyperechoic echogenic halos,calcification and bloodstream grade observed by CDFI(P=0.159,0.619,0.610,0.082,0.167,0.384, 0.517).79.2%(19/24) IPC were diagnosed as malignant tumors,and 67.3%(37/55) PP were diagnosed as benign lesions.Conclusions Ultrasonography has significant clinical value in differential diagnosis of IPC and PP of breast.更多还原