王怡,富丽娜,许萍,杨宝年.超声诊断乳腺导管内癌的价值探讨[J].中国医学影像技术,2007,23(10):1479~1480
超声诊断乳腺导管内癌的价值探讨
Value of ultrasound in diagnosing ductal carcinoma in situ
投稿时间:2007-04-13  修订日期:2007-08-27
DOI:
中文关键词:  乳腺导管内癌  超声
英文关键词:Ductal carcinoma in situ  Ultrasound
基金项目:
作者单位E-mail
王怡 复旦大学附属华山医院超声医学科,上海 200040  
富丽娜 复旦大学附属华山医院超声医学科,上海 200040 fufuliao@hotmail.com 
许萍 复旦大学附属华山医院超声医学科,上海 200040  
杨宝年 复旦大学附属华山医院超声医学科,上海 200040  
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中文摘要:
      目的 探讨乳腺导管内癌的超声诊断价值。方法 回顾性总结2000年9月-2006年12月期间经我院手术病理证实为乳腺导管内癌的36例病例的超声声像图特征。结果 乳腺导管内癌在超声上主要表现为导管型、结节伴钙化型及肿块型(包括混合性肿块及实质性肿块)。声像图特征多表现为形态欠规则,边界欠清,无包膜的略低回声区,内部回声欠均匀,部分可测及较丰富血流信号。伴有细钙化的病灶仍较有意义。结论 乳腺导管内癌没有特异性超声诊断特征,但部分特征有一定提示性,可帮助检出病灶,对早期发现术后复发病灶也很有价值。
英文摘要:
      Objective To evaluate the value of ultrasound in diagnosing ductal carcinoma in situ (DCIS). Methods The sonographic characteristics of 36 DCIS which were confirmed by pathology from September 2000 to December 2006 were analyzed retrospectively. Results The main ultrasound findings of DCIS could be divided into the dilated duct type, the nodule with calcification type and the mass type which included mix-mass type and solid-mass type. Slightly irregular shape and margin, mild heterogeneous hypoechogenicity and sometimes richness of blood signals were the common US findings. And microcalcification was always a significant characteristic. Conclusion There are no typical US findings of DCIS. However, some characteristics are suggestive and can help to differentiate them from the benign tumors. And ultrasound is also valuable to find recurrent lesions.
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