摘要
目的:探讨乳腺小叶原位癌的X线摄影(MG)、超声(US)及MRI表现。方法:运用美国放射学会提出的乳腺影像报告和数据系统(BI-RADS)分析手术病理证实为小叶原位癌14例患者的MG、US及MRI表现。结果:乳腺小叶原位癌最常见的X线表现为成簇多形性微钙化(7例)。最常见的超声表现为肿块(11例)、不规则形(8例)、低回声(9例)、水平位生长(10例)。最常见的MRI表现为非肿块样强化(9例)、流出型曲线(8例)。结论:乳腺小叶原位癌的影像学表现具有一定的特征,但与导管原位癌存在一定重叠,确诊需依靠病理、免疫组织化学检查。
Objective:To investigate the mammographic,ultrasonographic,and MRI features of lobular carcinoma in situ (LCIS).Methods:We analyzed 14 cases of LCIS proved by pathology in our hospital.Mammographic,ultrasonographic and MRI features were retrospectively reviewed according to the American College of Radiology (ACR)Breast Imaging Re-porting and Data System (BI-RADS).Results:The most common mammographic finding was clustered pleomorphic micro-calcifications.The most common ultrasonographic findings were irregular mass,circumscribed margin,hypoecho,and parallel orientation.At MRI,the most common findings were non-mass enhancement,and the time-signal intensity curve appeared as type Ⅲ.Conclusion:LCIS of the breast has certain MRI features;however,there's an overlap between LCIS and DCIS.The pathological and immunohistochemical results are required to establish the final diagnosis.
出处
《放射学实践》
2014年第10期1120-1122,共3页
Radiologic Practice
关键词
乳腺肿瘤
癌
小叶状
乳房X线摄影术
超声检查
磁共振成像
Breast neoplasms Carcinoma,lobular Mammography Ultrasonography Magnetic resonance imaging