Bartl W, Bernaschek G
Wien Klin Wochenschr. 1984 Oct 26;96(20):767-71.
40 women with breast cancer were checked by the ultrasound Octoson technique and the results compared with the histological tumour types. We grouped the carcinomas into 3 types: scirrhous, solid or medullary, and the invasive lobular tumour. Our diagnostic ultrasound criteria: internal echoes, as well as contour and boundary echo, showed a close relationship to the histological types. Irregular internal echoes, spiculated contours and weak boundary echoes were seen in most cases with scirrhous or lobular carcinomas, whilst the other histological types also showed characteristics similar to benign tumours such as absent internal echoes, regular contours and strong boundary reflexions. The criterion "shadowing" was not closely related to the degree of internal echoes either. Hence, a needle biopsy under ultrasound control should be performed to verify the diagnosis in all doubtful cases.
对40名乳腺癌患者采用超声Octoson技术进行检查，并将结果与肿瘤组织学类型进行比较。我们将癌分为3种类型：硬癌、实体或髓样癌以及浸润性小叶癌。我们的超声诊断标准：内部回声以及轮廓和边界回声与组织学类型密切相关。在大多数硬癌或小叶癌病例中可见内部回声不规则、轮廓呈毛刺状且边界回声较弱，而其他组织学类型也表现出类似于良性肿瘤的特征，如无内部回声、轮廓规则且边界反射强。“声影”这一标准也与内部回声程度无密切关系。因此，在所有可疑病例中均应在超声引导下进行针吸活检以核实诊断。
