| 赵 丹,廖 威,于 韬.乳腺X线摄影、彩色超声和MRI在乳腺癌保乳手术上的应用研究[J].肿瘤学杂志,2015,21(10):828-834. |
| 乳腺X线摄影、彩色超声和MRI在乳腺癌保乳手术上的应用研究 |
| Study of the Application of Mammography，Color Doppler Ultrasonography and Magnetic Resonance Imaging to Breast-conserving Surgery |
| 投稿时间：2014-09-28 |
| DOI：10.11735/j.issn.1671-170X.2015.10.B010 |
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| 中文关键词: 乳腺肿瘤 保乳手术 乳腺X线摄影 彩色超声 MRI |
| 英文关键词:breast neoplasms breast-conserving surgery mammography color Doppler ultrasonography MRI |
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| 中文摘要: |
| 摘 要：［目的］ 探讨乳腺X线摄影、彩色超声和MRI在乳腺癌保乳手术上的应用价值。［方法］ 选择行保乳手术治疗并经病理证实的乳腺癌患者54例。术前均行乳腺X摄影、彩色多普勒超声和MRI检查。术后对比病理，观察病灶的数量、大小、位置、形态、边缘、病灶与周围组织关系及腋窝淋巴结情况，以及病灶的病理分化程度。［结果］ 乳腺X线摄影对病灶的检出率为83.33%，彩色多普勒超声检出率为92.59%，MRI检出率为100%。在病灶大小的判定上，MRI的测量值与病理测量值之间具有一致性（P<0.05）。影像学征象与病理分化程度的对比发现，毛刺型肿块、血流信号为Ⅲ级及不均匀强化病灶在病理上多为低分化癌。病理检查腋下淋巴结转移的数目为36个，乳腺X线摄影腋下转移淋巴结检出率为33.33%，彩色超声为58.33%，MRI为55.56%。［结论］ 与乳腺X线摄影、彩色超声对比，MRI对病灶的检出有更高的灵敏度及检测符合率。综合应用三种影像方法，对乳腺癌保乳手术的可能性和手术预后进行评价，具有重要的临床应用价值。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the diagnostic values of mammography，color Doppler ultrasonography and MRI to breast-conserving surgery of breast cancer. ［Methods］ A total of 54 female patients with breast cancer received breast-conserving surgery were enrolled. All cases were examined by mammography，color Doppler ultrasonography and MRI before operation. Compared with pathological results，we observed the number of lesions，size，location，shape，edge，the axillary lymph nodes and the pathological grade differentiated of breast lesions. ［Results］ The detection rate of mammography，color Doppler ultrasonography and MRI was 83.33%，92.59% and 100% respectively. On the determination of the size of the lesions，the correlation was best between MRI and pathology (P<0.05). Contrast image features and the pathological grade differentiated of breast lesions，we found that sentus-shape-lump with grade Ⅲ blood signal and asymmetrical enhancement was probably low-grade differentiated lesion. There were 36 metastasized axillary lymph nodes. The detection rate of mammography，color Doppler ultrasonography and MRI was 33.33%，58.33% and 55.56% respectively. ［Conclusion］ Compared with mammography and color Doppler ultrasonography，the sensitivity of MRI is higher to detect the breast lesions and higher to measure accurately. It is of great significance to appreciate the probability and the prognosis of breast-conserving by the comprehensive application of mammography，color Doppler ultrasonography and MRI. |
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