赵娜,郑帅,陈治光,杜凯,王丽茜,杜丽娟,于腾飞,张巍.乳腺癌术后局部复发超声表现[J].中国医学影像技术,2025,41(2):258~262
乳腺癌术后局部复发超声表现
Ultrasonic manifestations of local recurrence of breast cancer after surgery
投稿时间:2024-11-23  修订日期:2025-01-20
DOI:10.13929/j.issn.1003-3289.2025.02.016
中文关键词:  乳腺肿瘤  超声检查  复发
英文关键词:breast neoplasms  ultrasonography  recurrence
基金项目:国家自然科学基金(82171935)。
作者单位E-mail
赵娜 首都医科大学附属北京天坛医院超声科, 北京 100070
北京市丰台区中医医院(北京市丰台区南苑医院)功能科, 北京 100076 
 
郑帅 首都医科大学附属北京天坛医院超声科, 北京 100070  
陈治光 中国医科大学附属第一医院超声科, 辽宁 沈阳 110001  
杜凯 首都医科大学附属北京天坛医院超声科, 北京 100070  
王丽茜 首都医科大学附属北京天坛医院超声科, 北京 100070  
杜丽娟 首都医科大学附属北京天坛医院超声科, 北京 100070  
于腾飞 首都医科大学附属北京天坛医院超声科, 北京 100070  
张巍 首都医科大学附属北京天坛医院超声科, 北京 100070 ultrazw@sina.com 
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中文摘要:
      目的 观察乳腺癌术后局部复发(LR)超声表现。方法 回顾性分析82例乳腺癌术后超声随访示术区局部低回声女性患者,根据其是否为LR分为LR组(n=18)与非LR组(n=64)。对比组间临床资料、术前原发灶及术后术区局部低回声超声表现。结果 组间手术方式、分子分型、平滑肌肌动蛋白状态、Calponin状态、Ki-67状态和临床分期,原发灶最大径及后方回声,以及术区局部低回声累及组织层次、位置、长轴是否与皮肤平行、边缘、内部回声、后方回声、皮肤改变和Adler血流分级差异均有统计学意义(P均<0.05)。结论 乳腺癌术后LR超声表现具有一定特征性。
英文摘要:
      Objective To observe the ultrasonic manifestations of local recurrence (LR) of breast cancer after surgery. Methods Totally 82 female breast cancer patients with local hypoechoic in surgical area who underwent ultrasound follow-up were enrolled and divided into LR group (n=18) and non LR group (n=64) according to the local hypoechoic was LR or not. Clinical data and ultrasonic manifestations of primary lesion before operation and postoperative local hypoechoic were observed and compared between groups. Results Significant differences of surgical resection type, molecular subtype, status of smooth muscle actin, Calponin status, Ki-67 status, clinical staging, the maximum diameter and posterior echo of the primary lesion, as well as of involved tissue layer, location, long axis parallel to the skin or not, edge, internal echo, posterior echo, skin change and Adler blood flow grading of local hypoechoic in resection area were found between groups (all P<0.05). Conclusion Ultrasonic manifestations of LR of breast cancer after surgery had certain characteristics.
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