Guyer P B, Dewbury K C, Warwick D, Smallwood J, Taylor I
Clin Radiol. 1986 Sep;37(5):451-8. doi: 10.1016/s0009-9260(86)80053-8.
Our experience of breast ultrasound in the differentiation of benign and solid malignant breast masses indicates a specificity of 93% for carcinoma; 7% of cancers were regarded as benign. Eight of 89 proven fibroadenomas were considered possibly malignant. Typical, and overlapping, features are described, and the world literature is discussed. Whereas most previous workers have used a water-path technique, we employ direct contact B-scanning, which is quick, simple, and apparently at least as successful. The small group of solid masses where there is overlap between fibroadenoma and carcinoma needs further study; this might be helped by histological correlation with the ultrasound appearances of malignancy, the causes of which are still debated. The exclusion of a focal solid mass in a patient with a breast lump can reduce the biopsy rate.
我们在乳腺超声鉴别良性和实性恶性乳腺肿块方面的经验表明，超声对癌的特异性为93%；7%的癌症被误诊为良性。89例经证实的纤维腺瘤中有8例被认为可能是恶性的。文中描述了典型及重叠的特征，并讨论了相关的世界文献。以往大多数研究者采用水路径技术，而我们采用直接接触式B超扫描，这种方法快速、简单，而且显然至少同样有效。纤维腺瘤和癌之间存在重叠的一小部分实性肿块需要进一步研究；通过将组织学与恶性超声表现相关联可能会有所帮助，而恶性超声表现的成因仍存在争议。排除乳腺肿块患者中的局灶性实性肿块可降低活检率。
