| 摘要: |
| 目的 探讨伴神经内分泌特征的浸润性乳腺癌（BCNF）的临床病理特点与超声表现特征。方法:分析17例BCNF患者的临床、病理组织学特点及超声表现特征。结果:17例BCNF中，伴有神经内分泌分化的癌（CWND）15例，低分化神经内分泌癌（小细胞癌）2例，声像图多表现为平行方位（100%）的低回声团块（82.4%），边缘成角或毛刺（76.4%），病灶内多为穿支或粗大扭曲的血管（64.7%），血供Adler II~III级（64.7%）。超声定性诊断与病理符合率为88.2%。结论：BCNF病理组织学以CWND为主，声像图具有一定特征性，多表现为边缘成角或毛刺的富血供实性团块，因此应多切面观察病灶边缘情况。 |
| 关键词: 乳腺，神经内分泌癌，超声检查，病理学 |
| DOI： |
| 投稿时间：2019-12-29修订日期：2020-01-14 |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| Clinicopathological and Ultrasonographic features of invasive breast carcinoma with neuroendocrine features |
| FENG Guiying,ZHONG Tingting,CHEN Yan,YANG Dayan,CHEN Qiqing,ZHANG Min,XIE Lin,JING Xiangxiang |
| () |
| Abstract: |
| Objecitve To ivestigate the clinicopathological and ultrasonographic features of invasive breast carcinoma with neuroendocrine features (BCNF). Methods 17 lesions of BCNF confirmed by pathological examination were selected to analyze the clinic, Pathologiacal and ultrasonographic features. Results 17 BCNFs were categorized into 15 carcinoma with neuroendocrine differentiation(CWND) and 2 Neuroendocrine Carcinoma，Poorly-differentiated/Small Cell Carcimoma. Most of BCNFs showed isoechoic of parallel orientation(82.4%), angular protrusion or glitch (76.4%), branch or coarse twisted blood vessel(64.7%) ,and blood Adler II~III grade(64.7%). According to pathology results,the ultrasonic coincidence rate of BCNF was 88.2%. Conclusion CWND are the principal type of BCNF, and the sonographic findings are certain characteristics, mostly showed solid lesions of angular protrusion or glitch with rich blood flow, we should pay more attention to the bord of lesions. |
| Key words: Breast, Neuroendocrine tumors, Ultrasonography,Pathology |
