| 摘要: |
| 目的: 探讨单纯性乳腺粘液癌（PMBC）的超声表现特征。资料与方法:分析27例PMBC的临床病理与超声表现特征，比较无微乳头结构的传统粘液癌（cPMBC）和微乳头型粘液癌（MUMPC）之间的超声评分及血流评分差异、比较PMBC有无淋巴结转移、不同TMN分期及分子分型的超声评分差异，采用SPSS23.0统计学软件对数据分析。结果: 27例PMBC中，cPMBC 20例，MUMPC 7例，超声多表现大分叶状或成角的低回声团，可见微钙化及液化，超声评分及血流评分中位数均为1分。cPMBC与MUMPC之间的超声评分及血流评分差别无统计学意义(P均＞0.05)，PMBC有无淋巴结转移、不同TMN分期及分子分型的超声评分差别无统计学意义(P均＞0.05)。结论：PMBC超声恶性特征不典型，超声医师应该警惕分叶状或成角的团块，尤其是伴有微钙化或液化者。 |
| 关键词: 乳腺,粘液癌,微乳头,超声检查 |
| DOI： |
| 投稿时间：2020-01-22修订日期：2020-02-07 |
| 基金项目:国家自然科学基金面上项目(81871365) |
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| Ultrasonographic features of pure mucinous carcinoma of the breast |
| Feng Guiying,Chen Qiqing,Yang Dayan,Zhang min,Chen yan,He Ke,Xie Lin,Jing Xiangxiang |
| () |
| Abstract: |
| Objecitve To ivestigate the ultrasonographic features of pure mucinous carcinoma of the breast (PMBC). Methods 27 lesions of PMBC were selected to analyze the clinic, pathologiacal and ultrasonographic features. To compare the differences in ultrasound scores and blood flow scores between patients of conventional pure mucinous breast carcinoma without micropapillary architecture (cPMBC) and mutinous carcinomas with micropapillary pattern (MUMPC).And to compare the differences in ultrasound scores of PMBC with and without lymph node metastasis, with different TMN stages and molecular types. SPSS23.0 software was used for data analysis. Results 27 PMBCs were categorized into 20 cPMBCs and 7 MUMPCs. Most of PMBCs showed hypoechoic with large leaf or angular protrusion, rare of calcification and liquefied. Median of ultrasound scores and blood flow scores were was 1 points. There were no differences in ultrasound scores and blood flow scores between cPMBCs and MUMPCs(all P＞0.05), and no differences in ultrasound scores between the PMBCs with and without lymph node metastasis, with different TMN stages and molecular types (all P＞0.05). Conclusion The ultrasound characteristics of PMBC are not typical,we should pay more attention to the lesions with leaf or angular protrusion while accompanied by calcification or liquefied component for reducing Misdiagnosis. |
| Key words: Breast, Mucinous breast carcinoma, Micropapillary, Ultrasonography |
