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实时三维超声鉴别乳腺良恶性肿块的价值 被引量:50

The value of real time three-dimensional ultrasound in differentiating benign and malignant breast tumors
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摘要 目的探讨实时三维超声在乳腺良恶性肿块鉴别诊断中的应用价值。方法应用实时三维超声检查对153例乳腺肿块进行良恶性鉴别诊断,并与术后病理结果进行对照。结果实时三维超声在冠状断面上观察到以恶性为主的乳腺肿块周围有条索状中等或高回声向外放射状伸展,暂名“太阳征”。该征象对乳腺良恶性肿块鉴别诊断的准确性为86.93%(133/153),敏感性为78.38%(58/74),特异性为94.94%(75/79)。结论实时三维超声为乳腺良恶性肿块的鉴别诊断提供了一种有价值的方法。 Objective To evaluate the value of real time three-dimensional ultrasound in differentiating benign and malignant breast tumors. Methods One hundred and fifty-three patients with breast tumors were examined with real time three-dimensional ultrasound. The results were compared with post-operative pathological results. Results A sign of malignancy on the coronal plane was observed by three-dimensional ultrasonography,named "sun-like symptom", because the sign looked like a shining sun: striated hyperechoic or iso-echoic images scattered radially around cancers, together with the distortion of normal tissue. The accuracy of the sign in differentiating benign and malignant breast tumors was 86.93% (133/153), the sensitivity was 78. 38% (58/74), and the specificity was 94. 94% (75/79). Conclusions Real time three-dimensional ultrasound is a valuable and new technique in differentiating benign and malignant breast tumors.
出处 《中华超声影像学杂志》 CSCD 2006年第12期906-909,共4页 Chinese Journal of Ultrasonography
关键词 超声检查 实时三维 乳腺疾病 诊断 鉴别 Ultrasonography, real-time three-dimensional Breast diseases Diagnosis,differential
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  • 1[1]Rotten D, Levailant JM, Zerat L, et al. Analysis of normal breast tissue and of solid breast masseses using three-dimensional ultrasound mamography[J]. Ultrasoud Obstet Gynecol,1999,14(2):114-124.
  • 2[2]Stavros AT, Thickman D, Rapp CL, et al. Solid breast nodules: Use of sonography to distinguish between benign and malignant lesions[J]. Radiology,1995,196(1):123-134.

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