Luska G, Lott D, Risch U, von Boetticher H
Radiologische Klinik, ZKH Links der Weser, Bremen.
Rofo. 1992 Feb;156(2):142-5. doi: 10.1055/s-2008-1032853.
72 histologically confirmed tumours of the breast--37 carcinomas and 35 benign tumours--for which mammograms were also available were examined by colour Doppler sonography. Vascularisation of benign processes showed at most 2 vessels (with the exception of 3 sarcoma phylloides and one proliferative mastopathy). Vascularisation clearly in excess of benign processes was observed in only 15 of the 37 carcinomas. In 33 of the carcinomas there was no doubt concerning the diagnosis preoperatively, in the remaining 4 the high vascularity was taken as an indication for surgery.
In rare cases colour Doppler sonography can provide additional information in the presence of 'vascular' tumours. It is not possible to differentiate between poorly vascularised carcinomas and benign tumours.
对72例经组织学确诊的乳腺肿瘤——37例癌和35例良性肿瘤——进行了彩色多普勒超声检查,这些病例均有乳腺X线照片。良性病变的血管化最多显示2条血管(3例叶状肉瘤和1例增生性乳腺病除外)。37例癌中仅15例观察到明显超过良性病变的血管化。33例癌术前诊断无疑,其余4例高血管化被视为手术指征。
在罕见情况下,彩色多普勒超声可在存在“血管性”肿瘤时提供额外信息。无法区分血管化不良的癌和良性肿瘤。