乳腺叶状肿瘤的超声图像特征分析

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Abstract Objective To analyze the sonographic features of phyllodes tumors of the breast (PTB) and explore the diagnostic value of ultrasonography in the PTB. Methods A retrospective analysis was performed on the patients with PTBs in the First Affiliated Hospital of Xi 'an Jiaotong University from June 2015 to June 2017, including 36 masses with complete ultrasound and pathological data. Results Among the 36 PTBs, 19 PTBs were benign, 11 PTBs were borderline and 6 were malignant tumors according to the pathologic diagnosis. The ultrasonic image feature of the masses were commonly observed to have more a clear-cut boundary, and inhomogeneous internal echo, the rarely calcification and more blood flows. The clear boundary was more commonly detected in the benign phyllodes tumors (χ2=6.597, P = 0.037). The inhomogeneous internal echo was more commonly observed in the malignant, with high echo separation and a cystic echo-free area was more commonly observed in these malignant tumor (χ2=6.840, P = 0.033; χ2=7.049, P = 0.029). Conclusion The ultrasonic imaging of PTB exhibits definite characteristics, and the border with high echo separation and cystic areas in the tumors can be used to differentiate between benign and malignant PTBs.

Key words： Breast Phyllodes tumor Ultrasonography Imaging analysis

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	XUE Shanshan1 LI Ning1 SHENG Wei2 ZHAO Qiaoling1▲

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XUE Shanshan1 LI Ning1 SHENG Wei2 ZHAO Qiaoling1▲. Ultrasonography imaging characteristics analysis of the phyllodes tumor of the breast[J]. 中国医药导报, 2018, 15(16): 110-113.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I16/110

[1] Tan PH，Thike AA，Tan WJ，et al. Predicting clinical behaviour of breast phyllodes tumours：a nomogram based on histological criteria and surgical margins[J]. J Clin Pathol，2012，65（1）：69-76.
[2] American College of Radiology. Breast Imaging Reporting and Data system：BI-RADS Atlas [M]. Reston，VA：American College Of Radiology，2003：77-79.
[3] Adler DD，Carson PL，Rubin JM，et al. Doppler ultrasound color flow imaging in the study of breast cancer：preliminary findings [J]. Ultrasound Med Biol，1990，16（6）：553-559.
[4] 于海春.介入超声经皮穿刺活检术在乳腺肿瘤诊断中的应用价值[J].中国医药指南，2013，24（11）：624-626.
[5] 黄杰文，李璐，丘冬琴.乳腺分叶状肿瘤的临床病理特点及治疗体会[J].外科研究与新技术，2016，5（2）：79-81.
[6] 李丹.乳腺叶状肿瘤的临床病理特征[J].医疗装备，2018，1（31）：26-27.
[7] 张丹，李燕东，丁奕文，等.乳腺叶状肿瘤的组织结构与声像图表现的相关性分析及文献复习[J].中华临床医师杂志，2016，11（10）：3463-3465.
[8] Dong XY，Xue XH，Wang P，et al. Comparative analysis between ultrasounic characteristics and pathology of phyllodes tumors of the breast [J]. Chin J Interv Imaging Ther，2011，8（5）：394-397.
[9] 黄泽楠，曾维根，刘宇，等.乳腺叶状肿瘤60例临床病理分析[J/CD].中华普通外科学文献：电子版，2014，8（3）：223-227.
[10] 韦小葵，洗丽娅，韦艳华，等，乳腺叶状肿瘤与纤维腺瘤超声图像比较分析[J].黑龙江医学，2014，38（10）：1135-1137.
[11] 董晓燕，程遵华，薛晓红，等.乳腺叶状肿瘤与纤维腺瘤高频超声特征的对比分析[J].中国中西医结合影像学杂志，2018，16（1）：35-38.
[12] Tan H，Zhang S，Liu H，et al. Imaging findings in phyllodes tumors of the breast [J]. Eur J Radiol，2012，81（1）：62-69.
[13] 王丽丽.超声在乳腺分叶状肿瘤与纤维腺瘤鉴别诊断中的应用价值[J].实用医技杂志，2017，12（24）：1307-1309.
[14] Hassan S，Ud DN，Kayani N. Malignant phyllodes tumor in an11-year-old girl with fatal clinical outcome.A case report [J]. Breast Dis，2016，36（1）：61-64.
[15] 丁雨钦，杨红健.乳腺叶状肿瘤的诊治进展[J].中华普通外科杂志，2016，31（5）：439-440.
[16] Suzuki-Uematsu S，Shiraishi K，Ito T，et al. Malignant phyllodes tumor composed almost exclusively of a fibrosarcomatous component：a case report and review of malignant phyllodesn tumors with metastases [J]. Breast Cancer，2010，17（3）：218-224.
[17] 温乔，谢飞.高级彩超诊断小体积恶性叶性肿瘤的价值分析[J].河北医药，2016，3（38）：735-736.
[18] 林伟利，钱江洁，虞希.超声介入活检在乳腺叶状肿瘤中的临床应用[J].数理医药学杂志，2017，30（8）：1110-1112.
[19] 刘松涛.常规彩色多普勒超声与弹性成像技术在诊断乳腺肿块中的价值[J/CD].中华普外科手术学杂志：电子版，2015，9（3）：62-64.
[20] Wu LZ，Chai WY. Value of high frequency ultrasond parameters in differential diagnosis of breast phyllodes tumor and breast fibroadenoma [J]. J Kunming Med University，2012，33（10）：118-122.
[21] 李岩松，蔡湘丽，胡克林，等，高频彩超诊断小体积恶性乳腺叶状肿瘤的临床价值[J].蚌埠医学院学报，2017，42（1）：97-98.
[22] 汪林，隋秀芳，李红苗等.超声在乳腺分叶状肿瘤诊断中的应用[J].中国临床保健杂志，2017，12（20）：745-748.
[23] 张正雨，超声在乳腺分叶状肿瘤诊断中的应用[J].临床医药文献杂志，2017，4（95）：18743-18744.
[24] 李勇，杨瑞.乳腺叶状肿瘤的临床病理特征分析[J].中国医药指南，2016，14（7）：45-46.
[25] Jennifer LG，Richelle TW，Katherine YM，et al. Utilization of radiotherapy for malignant phyllodes tumors：analysis of the National Cancer Data Base，1998-2009 [J]. Ann Surg Oncol，2014，21（4）：1222-1230.