[超声及超声弹性成像在可触及及不可触及乳腺病变诊断中的有效性]

[The effectiveness of ultrasound and sonoelastography in the diagnosis of palpable and non-palpable breast lesions].

作者信息

Bus'ko E A, Mishchenko A V, Semiglazov V V, Tabagua T T

出版信息

Vopr Onkol. 2013;59(3):375-81.

Abstract

The purpose of this study was to analyze the causes of false results in the ultrasound (US) and sonoelastography (SEG) examination of non-palpable and palpable lesions of the breast. The efficacy of diagnosis of non-palpable and palpable lesions by US and SEG was compared. 211 women with histologically confirmed focal breast lesions (146 non-palpable and 65 palpable) were included in the group. Women had a mean age of 52.0 +/- 13.6 years. The diameter of non-palpable lesions was less than 2 cm. Local mastopathy and medullar carcinoma were the reason of false results in most US. SEG allowed differentiating of these lesions. We found that SEG increased the specificity of diagnostics of non-palpable breast lesions by 19%.

摘要

本研究的目的是分析乳腺不可触及和可触及病变的超声（US）及超声弹性成像（SEG）检查结果出现假阳性的原因。比较了US和SEG对不可触及及可触及病变的诊断效能。该组纳入了211例经组织学确诊为乳腺局灶性病变的女性（146例不可触及病变和65例可触及病变）。这些女性的平均年龄为52.0±13.6岁。不可触及病变的直径小于2 cm。在大多数US检查中，局部乳腺病和髓样癌是导致结果出现假阳性的原因。SEG能够区分这些病变。我们发现SEG使不可触及乳腺病变诊断的特异性提高了19%。