| 颜美莹,阮 磊,杨 琛,等.乳腺鳞状细胞癌的多模态影像学特征及其与腋窝淋巴结转移相关性[J].肿瘤学杂志,2022,28(5):364-369. |
| 乳腺鳞状细胞癌的多模态影像学特征及其与腋窝淋巴结转移相关性 |
| Multimodal Imaging Features of Squamous Cell Carcinoma of the Breast and Their Relationship with Axillary Lymph Node Metastasis |
| 投稿时间：2021-12-15 |
| DOI：10.11735/j.issn.1671-170X.2022.05.B005 |
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| 中文关键词: 乳腺鳞状细胞癌 多模态影像 腋窝淋巴结转移 |
| 英文关键词:squamous cell carcinoma of the breast multimodal imaging axillary lymph node metastasis |
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| 摘要点击次数: 715 |
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| 中文摘要: |
| 摘 要：［目的］ 探究乳腺鳞状细胞癌病灶的超声、磁共振、X线钼靶的影像学特征及其与腋窝淋巴结转移的相关性。［方法］ 回顾性分析2007年11月至2021年5月期间的术后病理或粗针穿刺诊断乳腺鳞状细胞癌38例患者的超声、磁共振、X线影像学资料、临床资料及术后的病理资料。［结果］ 乳腺鳞状细胞癌38例，腋窝淋巴结未转移共24例（63.16%）。乳腺鳞状细胞癌病灶的超声表现主要为形状不规则（81.58%，31/38）、边界不清（65.79%，25/38）和低回声为主（60.53%，23/38）。MRI特征主要包括形状不规则（68.18%，15/22）、边界不清（68.18%，15/22）、增强模式以不均质增强为主（81.82%，18/22），TIC曲线以Ⅱ型为主（72.73%，16/22）。肿块型病灶的X线影像学特征主要表现为形状不规则（77.78%，21/27）、边界不清（70.37%，19/27）和高密度（66.67%，18/27）。乳腺X线表现可见钙化者占82.14%（23/28）。相对于腋窝淋巴结转移组，腋窝淋巴结未转移组的磁共振影像表现多为不均质强化（P=0.046），腋窝淋巴结未转移组更容易出现钙化的超声表现（P=0.015）。［结论］ 乳腺鳞状细胞癌的影像学特征大多表现为边界不清的不规则肿块，腋窝淋巴结转移与特定影像学特征存在一定相关性。 |
| 英文摘要: |
| Abstract： ［Objective］ To explore the imaging features of ultrasonography， magnetic resonance and X-ray of lesions in patients with squamous cell carcinoma(SCC) of the breast and their relationship with axillary lymph node metastasis. ［Methods］ The imaging， clinical and pathological data of 38 cases with breast squamous cell carcinoma admitted in Zhejiang Cancer Hospital from November 2007 to May 2021 were retrospectively analyzed. ［Results］ Among 38 cases， there were 24 cases with negative axillary lymph node metastasis(63.16%). The ultrasound features of breast lesions were mainly irregular shape(81.58%， 31/38)， unclear boundary(65.79%， 25/38) and hypoechoic mass(60.53%， 23/38). Magnetic resonance(MRI) features of breast lesions were mainly irregular shape(68.18%， 15/22)， unclear boundary(68.18%， 15/22)， inhomogeneous enhancement mode(81.82%， 18/22) and TIC curve type Ⅱ(72.73%， 16/22). The X-ray imaging features of lesions mainly irregular shape(77.78%， 21/27)， unclear boundary(70.37%， 19/27) and high density(66.67%， 18/27). Mammography showed calcification in 23 cases(82.14%). Compared with the axillary lymph node metastasis group， the MRI findings of the negative metastasis group were more heterogeneous enhancement(P=0.046) and more calcification in the mammography(P=0.015). ［Conclusion］ This study shows that the imaging features of SCC of the breast are mostly irregular masses with unclear boundary， and axillary lymph node metastasis may present some specific imaging features. |
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