唐敏,郑小雪,李雪,宋建琼.超声乳腺影像报告和数据系统联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤[J].中国医学影像技术,2024,40(4):549~552
超声乳腺影像报告和数据系统联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤
Ultrasound breast imaging reporting and data system combined with patients' age for differentiating benign and borderline/malignant phyllodes tumor of breast
投稿时间:2023-08-22  修订日期:2024-02-06
DOI:10.13929/j.issn.1003-3289.2024.04.015
中文关键词:  乳腺肿瘤  叶状瘤  超声检查  乳腺影像报告和数据系统  年龄
英文关键词:breast neoplasms  phyllodes tumor  ultrasonography  breast imaging reporting and data system  age
基金项目:
作者单位E-mail
唐敏 达州市中心医院超声医学科, 四川 达州 635000  
郑小雪 达州市中心医院超声医学科, 四川 达州 635000  
李雪 达州市中心医院临床医学研究中心, 四川 达州 635000  
宋建琼 达州市中心医院超声医学科, 四川 达州 635000 2695521198@qq.com 
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中文摘要:
      目的 观察超声乳腺影像报告和数据系统(BI-RADS)联合患者年龄鉴别良性与交界性/恶性乳腺叶状肿瘤(PTB)的价值。方法 回顾性分析74例经乳腺超声检查及术后病理证实的PTB女性患者共76个病灶,包括良性57个、交界性14个及恶性5个,比较3种病变患者年龄及其超声BI-RADS分类,观察以单一年龄、超声BI-RADS及其联合鉴别诊断价值。结果 良性、交界性及恶性PTB之间,患者年龄及超声BI-RADS分类差异均有统计学意义(P=0.026、0.015)。以44.5岁、超声BI-RADS 4B类及其联合鉴别良性与交界性/恶性PTB的敏感度分别为94.74%、36.84%及73.68%,特异度分别为56.36%、87.27%及72.73%,曲线下面积分别为0.769、0.649及0.780。结论 超声BI-RADS分类联合患者年龄有助于鉴别良性与交界性/恶性PTB。
英文摘要:
      Objective To observe the value of ultrasound breast imaging reporting and data system (BI-RADS) combined with patients' age for differentiating benign and borderline/malignant phyllodes tumor of breast (PTB). Methods Data of 74 female patients with 76 breast ultrasound diagnosed PTB, including 57 benign, 14 borderline and 5 malignant ones confirmed by postoperative pathology were retrospectively analyzed. The patients' age and ultrasound BI-RADS classification were compared among benign, borderline and malignant PTB, and the values of age and BI-RADS classification alone and their combination for differentiating benign and borderline/malignant PTB were observed. Results Significant differences of patients' age and ultrasound BI-RADS classifications were found among benign, borderline and malignant PTB (P=0.026, 0.015). The sensitivity of patient's age of 44.5 years, ultrasound BI-RADS 4B and their combination for differentiating benign and borderline/malignant PTB was 94.74%, 36.84% and 73.68%, respectively, with specificity of 56.36%, 87.27% and 72.73%, respectively, and the area under the curve of 0.769, 0.649 and 0.780, respectively. Conclusion Ultrasound BI-RADS combined with patients' age was helpful for differentiating benign and borderline/malignant PTB.
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