Stosiek U, Zedelius M
Zentralbl Gynakol. 1987;109(10):628-33.
The prognostic value of sonography was tested in 108 cases of breast carcinoma. The criteria of prognosis were the low-risk and high-risk groups of histological and cytological gradings, the positive or negative hormone receptors as well as the nodal positive and nodal negative clinical stages. In the low risk group there were mostly elderly women with smaller carcinoma. Under the sonography these tumors were polycyclic and had a dorsal ultrasonic shadow. In the high risk group were younger women with bigger tumors. When scanned they mostly showed branches, a lateral ultrasonic shadow and sound intensification. In general, the different risk groups couldn't be clearly distinguished by sonography. As high disintegrate scanners have not been used long enough, there are no studies to prove their accuracy. We suppose, however, that the accuracy of prognosis can be improved with the new generation of scanners.
对108例乳腺癌患者进行了超声检查的预后价值测试。预后标准为组织学和细胞学分级的低风险和高风险组、激素受体阳性或阴性以及淋巴结阳性和淋巴结阴性的临床分期。低风险组大多为老年女性,癌肿较小。在超声检查下,这些肿瘤呈多环状,有后方超声阴影。高风险组为年轻女性,肿瘤较大。扫描时大多显示分支、侧方超声阴影和回声增强。一般来说,超声检查无法清晰区分不同风险组。由于高分辨率扫描仪使用时间不够长,尚无研究证明其准确性。然而,我们推测新一代扫描仪可提高预后的准确性。