| 摘要: |
| 目的 探讨超声造影在鉴别乳腺囊实性复合肿块良恶性并是否行超声引导下活检指导中的应用。方法 回顾性研究2020年1月至2021年1月经超声诊断为乳腺囊实性复合肿块患者74例，结合病理及随访结果分析常规超声及超声造影声像图特征并对乳腺囊实性肿块恶性诊断效能进行评价；分别统计常规超声及超声造影后决定行组织穿刺活检的例数。结果 病理证实的60例患者中良性45例，恶性15例。超声造影乳腺囊实性复合肿块实性部分有无强化、强化范围是否增大及实性部分基底部突破特征对于区分肿块良、恶性差异有统计学意义(p<0.05)。超声造影可提高乳腺囊实性复合肿块恶性病变诊断的敏感性。超声造影后对乳腺囊实性肿块活检的决定被改变25.7%；而对于怀疑恶性乳腺囊实性复合肿块超声造影不会改变穿刺的决策。结论 超声造影在乳腺囊实性复合肿块的良恶性鉴别中有一定作用，为指导超声引导下乳腺穿刺活检决策提供新方法。 |
| 关键词: 超声造影 乳腺囊实性复合肿块 活检 |
| DOI： |
| 投稿时间：2022-03-10修订日期：2022-05-13 |
| 基金项目: |
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| Contrast-enhanced Ultrasound in Distinguishing Benign from Malignant Complex Cystic and Solid Breast Mass and Making the Decision to Biopsy |
| Dong-fang Wu,Wen He,Hong-xia Zhang,Teng-fei Yu |
| (Department of Ultrasound,Beijing Fengtai Hospital, Feng Tai South Road,Feng Tai District;Department of Ultrasound,Beijing Tiantan Hospital,Capital Medical University, South Fourth Ring West Road,Feng Tai District) |
| Abstract: |
| Objective To use contrast-enhanced ultrasonography(CEUS) to identify the characteristics benign and malignant of complex cystic and solid breast mass, and decides whether to perform ultrasound-guided biopsy. Methods From January 2020 to January 2021, retrospective study was performed in 74 patients who were pathologically confirmed or followed up for at least one year. Combined with the results of pathology and follow-up, the characteristics of conventional ultrasound and CEUS and the diagnostic performance of malignant breast cystic and solid masses were analyzed. Ultrasound-guided biopsy cases were counted in conventional ultrasound and CEUS separately. Result among the 60 cases confirmed by pathology, 45 were benign nodules, and 15 cases were malignant nodules. There is a statistically significant difference to differentiate the benign and malignant breast complex cystic and solid nodular with CEUS focused on enhancement, enhancement range and solid components beyond the basilar part (p<0.05). CEUS could improve the sensitivity of diagnosis in malignant breast cystic and solid complex mass. 25.7% cases had been changed the decision for ultrasound-guided breast nodule biopsy with CEUS, however CEUS would not change the decision for biopsy in suspected malignant breast complex cystic and solid nodular. Conclusion CEUS plays an important role in differentiating benign and malignant breast complex cystic and solid masses, and provide a new method to make decision for biopsy. |
| Key words: Contrast-enhanced Ultrasound Breast Complex Mass Biopsy |
