| 朱庆莉,姜玉新,孙强,周炜洵.乳腺癌的彩色多普勒血流分布特征与组织病理学对照研究[J].中国医学影像技术,2005,21(10):1516~1518 |
| 乳腺癌的彩色多普勒血流分布特征与组织病理学对照研究 |
| Assessment of breast cancer vascularity pattern by color Doppler sonography and pathology |
| 投稿时间：2005-07-20 修订日期：2005-09-05 |
| DOI： |
| 中文关键词: 乳腺癌 超声检查 彩色多普勒血流成像 病理学 |
| 英文关键词:Breast neoplasms Ultrasonography Color Doppler flow imaging Pathology |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨乳腺癌彩色多普勒血流分布类型及其在乳腺癌诊断中的价值。方法 前瞻性研究104例121个乳腺癌病变的彩色多普勒血流分布类型,分析血流特征与乳腺癌病理组织学之间的关系。结果 121个乳腺癌中周边型血流62个(51.2％),内部型血流31个(25.6％),穿入型血流23个(19.0％),5个(4.1%)无血流。导管内癌、浸润性小叶癌和高、中分化的浸润性导管癌的血流多位于肿块的周边;而低分化的浸润性导管癌以穿入和内部血流为主(P＝0.010);特殊类型浸润癌以内部血流为主(P＝0.009)。肿瘤表现为内部血流者,多血流丰富(P＝0.003)。结论 彩色多普勒血流的分布部位是乳腺癌新生血管的一个重要特征。血流分布类型与乳腺癌生长、分化之间存在一定的关系,导管内癌、浸润性小叶癌和高、中分化的浸润性导管癌的血流多位于肿块的周边,分化差的浸润性导管癌以及特殊类型浸润癌则以穿入型和内部型血流为主。血流分布类型与血流数量有一定的关系,穿入型和内部型血流往往血流比较丰富。 |
| 英文摘要: |
| Objective To investigate color Doppler flow imaging patterns related with breast cancers histological features. Methods One hundred and twenty-one breast cancers in 104 patients were prospectively evaluated with color Doppler flow imaging. Lesion vascular pattern was described as peripheral, penetrating and central location. The vascular pattern was analyzed and correlated with histopathologic typing and grading. Results In 121 breast cancer lesions, peripheral vascularity were detected in 62 (51.2%), central vascularity in 31 (25.6%), penetrating vascular in 23 (19.0%) and avascular in 5 (4.1%). Peripheral vascularity was more common in ductal carcinomas in situ, invasive lobular carcinoma or invasive ductal carcinoma grade Ⅰand Ⅱ, while grade Ⅲ often showed central and penetrating vessels. Specified invasive carcinoma demonstrated more central pattern vascularity. Conclusion The location of tumor vessels is also an important feature of breast cancers, which related with cancer histogical characterization. |
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