| 邹霞,李泉水,张家庭,田平,粟辉,陈胜华,郭国强.高频彩色多普勒超声诊断乳腺导管内乳头状瘤及误诊原因分析[J].中国医学影像技术,2008,24(9):1411~1413 |
| 高频彩色多普勒超声诊断乳腺导管内乳头状瘤及误诊原因分析 |
| High frequency color Doppler ultrasound in the diagnosis of breast intraduct papilloma and analysis of misdiagnosis |
| 投稿时间：2008-03-27 修订日期：2008-07-01 |
| DOI： |
| 中文关键词: 乳腺导管内乳头状瘤 超声检查,多普勒,彩色 |
| 英文关键词:Intraduct papilloma Ultrasonography, Doppler, color |
| 基金项目:深圳市医学重点学科建设经费(2005CD6)。 |
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| 中文摘要: |
| 目的 探讨高频彩色多普勒超声对乳腺导管内乳头状瘤的诊断与鉴别诊断价值。 方法 回顾性分析经手术病理证实的51例乳腺导管内乳头状瘤的高频超声声像图特征。 结果 51例乳腺导管内乳头状瘤的声像图特征可分为5种类型:Ⅰ型:21例导管扩张伴导管内实性乳头状突起,5例探及点状血流信号。Ⅱ型:10例导管轻度扩张伴远端中断处实性结节,2例探及点状血流信号。Ⅲ型:7例囊实性混合结节型,6例在实性回声内显示点线状血流信号。Ⅳ型:6例单纯导管扩张型,其中1例在远端导管中断处见点状血流信号。Ⅴ型:7例实性肿块型,无导管扩张,4例可见点状、线状血流信号。 结论 乳腺导管内乳头状瘤超声声像图表现有多种类型,应结合临床表现,根据病灶出现的部位及导管扩张等情况综合判断作出超声诊断。 |
| 英文摘要: |
| Objective To investigate the value of high frequency color Doppler ultrasound in the diagnosis of breast intraduct papilloma, and to analyze the causes of misdiagnosis. Methods High frequency ultrasound images of 51 cases with intraductal papilloma of breast confirmed by operation and pathology were studied retrospectively. Results The sonography of 51 patients with breast intraducal papilloma were divided into 5 types: TypeⅠ, 21 cases showed duct dilatation with papillary processes or solid masses, and 5 cases had punctual or banding blood signal; TypeⅡ, 10 cases showed solid masses at the end of dilated duct, and 2 cases had punctual blood signal; TypeⅢ, 7 cases showed cystosolid masses, and 6 cases had punctual or linear blood signal in the interal of solid lump; TypeⅣ, 6 cases showed duct dilatation, and 1 case had punctual blood signal at the end of duct; TypeⅤ, 7 cases showed solid masses without duct dilatation, and 4 cases had punctual or linear blood signal. Conclusion The sonographic findings of breast intraducal papilloma need to be analyzed combining with clinical performance, and diagnosis shall be made mainly according to the focus of lump and duct dilatation. |
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