| 摘要: |
| 目的：分析乳腺超声随访生长型乳腺影像报告和数据系统(BI-RADS)类病变与恶性肿瘤相关的特征。方法：选择2018年11月~2021年11月医院随访115例生长型BI-RADS3类病变患者作为研究对象,患者诊断与随访均行乳腺超声检查,分析患者随访期间生长型BI-RADS3类病变变化,生长型BI-RADS3类病变变化与超声检查表现相关性,生长型BI-RADS3类病变恶性化影响因素,超声检查表现对患者病情变化预测价值。结果：115例患者随访结束证实良性91例,恶性24例；良性与恶性患者最大径增长率、前后径增长率、边界及内部回声等超声表现比较存在统计学意义(P＜0.05)；多因素Logistic回归分析,结果显示内部回声不是生长型BI-RADS3类病变恶性化影响因素(P＞0.05),最大径增长率、前后径增长率以及边界是生长型BI-RADS3类病变恶性化影响因素(P＜0.05)；受试者工作特征曲线显示,最大径增长率、前后径增长率以及边界用于预测生长型BI-RADS3类病变良恶性曲线下面积(AUC)分别为0.635、0.820、0.598,三指标联合AUC为0.868。结论：生长型BI-RADS3类病变病情变化与随访超声表现关系密切,而部分超声表现用于预测BI-RADS3类病变变化有一定价值。 |
| 关键词: 乳腺超声 随访 生长型BI-RADS3类病变 恶性肿瘤 超声特征 |
| DOI： |
| 投稿时间：2022-06-14修订日期：2022-08-22 |
| 基金项目: |
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| Breast ultrasound follow-up of the characteristics of growing BI-RADS3 lesions and malignant tumors |
| chenghuiting,yangdannan,huanglijia |
| () |
| Abstract: |
| Objective: To analyze the characteristics of growing Breast Imaging Reporting and Data System (BI-RADS) category 3 lesions and malignant tumors during breast ultrasound follow-up. Methods: From November 2018 to November 2021, 115 patients with growing BI-RADS 3 lesions were followed up. The patients were diagnosed and followed up with breast ultrasound. Changes in growing BI-RADS 3 lesions, the correlation between the changes and ultrasound findings, the influencing factors of malignant growing BI-RADS 3 lesions, and the predictive value of ultrasound findings for condition changes were analyzed. Results: At the end of follow-up, there were 91 cases of benign lesions and 24 cases of malignant lesions. The ultrasound findings such as the growth rate of the maximum diameter, the growth rate of anterior-posterior diameter, boundary and internal echo showed no statistically significant difference between benign and malignant lesions (P<0.05). Multivariate logistic regression analysis showed that the growth rate of the maximum diameter, the growth rate of anterior-posterior diameter, and boundary were influencing factors for malignant growing BI-RADS3 lesions (P<0.05). The receiver operating characteristic curve showed that the areas under the curve (AUC) of the growth rate of the maximum diameter, the growth rate of anterior-posterior diameter, and boundary to diagnose benign and malignant growing BI-RADS 3 lesions were 0.635, 0.820, and 0.598, respectively. The AUC of the three in combination was 0.868. Conclusion: Changes in growing BI-RADS 3 lesions are closely related to ultrasound findings, which indicates that ultrasound findings can help to predict the changes in BI-RADS 3 lesions. |
| Key words: Breast ultrasound Follow-up Growing BI-RADS 3 lesion Malignant tumor Ultrasound feature |
