孙秀明,陈路增,陈铭,石健,李静敏.乳腺假血管瘤样间质增生的超声和X线表现[J].中国医学影像技术,2021,37(7):1007~1010
乳腺假血管瘤样间质增生的超声和X线表现
Ultrasonic and mammographic features of pseudoangiomatous stromal hyperplasia of breast
投稿时间:2020-08-04  修订日期:2021-05-28
DOI:10.13929/j.issn.1003-3289.2021.07.010
中文关键词:  乳腺肿瘤  假血管瘤样间质增生  超声检查  乳房X线摄影术
英文关键词:breast neoplasms  pseudoangiomatous stromal hyperplasia  ultrasonography  mammography
基金项目:
作者单位E-mail
孙秀明 北京大学第一医院超声医学科, 北京 100034  
陈路增 北京大学第一医院超声医学科, 北京 100034 chenluzeng@126.com 
陈铭 北京大学第一医院超声医学科, 北京 100034  
石健 北京大学第一医院超声医学科, 北京 100034  
李静敏 北京大学第一医院超声医学科, 北京 100034  
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中文摘要:
      目的 观察乳腺假血管瘤样间质增生(PASH)超声和乳房X线片表现。方法 纳入51例经病理证实PASH 患者,共54个结节,观察其超声及X线表现。采用Newcombe法评价超声及X线结节检出率的差异。结果 54个乳腺PASH结节中,26个(26/54,48.15%)经超声评价为乳腺影像报告和数据系统(BI-RADS)3类、28个51.85%(28/54)为BI-RADS 4类;其中41个(41/54,75.93%)表现为低回声;31个为椭圆形(31/54,57.41%);29个(29/54,53.70%)边缘不光整;52个(52/54,96.30%)结节内未见钙化;44个(44/54,81.48%)未见血流信号。30例接受X线检查,15例未见占位,其中3例仅显示腺体密度不对称;12例(12个结节)可见无钙化的高密度影;7个(7/12,58.33%)边缘清晰。超声及X线对乳腺PASH结节的检出率分别为100.00%(54/54)和40.00%(12/30),95%CI为(26.69%,63.86%)(P<0.05)。结论 乳腺PASH超声及X线表现均缺乏特异性,但超声检出率显著高于X线。
英文摘要:
      Objective To observe the ultrasonic and mammographic features of pseudoangiomatous stromal hyperplasia (PASH) of the breast. Methods A total of 51 patients with pathologically diagnosed PASH (54 nodules) were enrolled, and the ultrasonic and mammographic features were observed. The proportion difference of the detection rate of PASH of ultrasound and mammography was compared with Newcombe method. Results Among 54 PASH nodules of the breast, 26(26/54, 48.15%) were classified with ultrasound as breast image reporting and data system (BI-RADS) 3, 28 (28/54, 51.85%) were classified as BI-RADS 4. Hypoechoic were detected in 41(41/54, 75.93%) nodules, while 31(31/54, 57.41%) nodules were oval-shaped, the edges of 29 (29/54, 53.70%) were not circumscribed. No calcification was observed in 52 (52/54, 96.30%), nor blood supply in 44 (44/54, 81.48%) nodules. Among 30 cases underwent mammograms, 12 (12/30, 40.00%) nodules showed high density without calcification, 58.33% (7/12) were fine circumscribed, 3 cases showed only asymmetric gland density, while no obvious abnormalities were found in 15 cases. The detection rate of ultrasonography and mammography for breast PASH was 100.00% (54/54) and 40.00% (12/30), with 95%CI (26.69%, 63.86%) (P<0.05). Conclusion Both ultrasonic and mammographic features of breast PASH lacked specificity, but the detection rate of breast PASH of ultrasound was significantly higher than that of mammography.
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