Stosiek U, Zedelius M
Ultraschall Med. 1986 Aug;7(4):185-8. doi: 10.1055/s-2007-1011944.
We recorded the sonographic findings of 108 cases of carcinoma of the breast and compared the different criteria with the respective histological and clinical parameters. When scanned, carcinomas of the breast usually presented as irregular carcinomas with good sound conduction, few internal echoes and rarely with a lateral or dorsal ultrasonic shadow. Sonography showed a smaller diameter of the tumours than measured histologically. Medium-size and solid carcinomas with a smooth surface could be distinguished mos easily. Histological and cytological grading classified these tumours in the high risk group. Tubular and scirrhous tumours were significantly less easy to identify and delineate. This applies also to bigger and smaller tumours. In most cases small carcinomas were smooth, were likely to show sound intensification, and rarely had a dorsal ultrasonic shadow. The bigger they became, the more often we could observe branches; sound intensification decreased, and the dorsal ultrasonic shadow increased. Carcinomas of young women had the same sonographic characteristics as small tumours, whereas carcinomas in elderly women had those of big tumours, although there was no correlation between age and the size of the tumours. We emphasise the importance of sonography in determining tumours dynamics.
我们记录了108例乳腺癌的超声检查结果，并将不同的标准与各自的组织学和临床参数进行了比较。在进行扫描时，乳腺癌通常表现为不规则癌，声传导良好，内部回声少，很少伴有侧方或后方超声阴影。超声检查显示的肿瘤直径小于组织学测量值。中等大小且表面光滑的实性癌最容易鉴别。组织学和细胞学分级将这些肿瘤归为高危组。管状癌和硬癌明显更难识别和勾勒边界。这同样适用于大小不同的肿瘤。在大多数情况下，小癌表面光滑，可能出现声增强，很少有后方超声阴影。肿瘤越大，我们观察到分支的频率越高；声增强减弱，后方超声阴影增加。年轻女性的乳腺癌具有与小肿瘤相同的超声特征，而老年女性的乳腺癌具有大肿瘤的特征，尽管年龄与肿瘤大小之间没有相关性。我们强调超声检查在确定肿瘤动态方面的重要性。
