Vetshev P S, Shkrob O S, Kuznetsov N S, Lotov A N, Kulezneva Iu V, Beltsevich D G
Khirurgiia (Mosk). 1995 Jan(1):8-11.
The authors show the comparative data on ultrasonic examination and mammography in 204 patients with nodular new growths in the breast: 66 had breast carcinoma and 138 had benign diseases. They suggest 6 ultrasonic criteria characteristic of breast carcinoma and describe the ultrasonic picture of the most commonly encountered benign breast tumors: fibroadenoma, nodular mastopathy, cysts. USE sensitivity was 68.8 +/- 7% in breast carcinoma, 82.6 +/- 8.1% in fibroadenoma, 72.8 +/- 7.2% in nodular mastopathy, and 100% in cysts (the respective values in mammography were 76.7 +/- 6.4%, 69.6 +/- 9.8%, 74.4 +/- 7%, and 60 +/- 11.2%). USE sensitivity and sensitivity of mammography were found to differ for different age categories in early forms of breast carcinoma. It is shown that the histological structure of a malignant tumor may be assumed from the ultrasonic criteria. The authors conclude that USE has a high diagnostic value in nodular new growths of the breast and that differential diagnosis of malignant and benign lesions is possible.
作者展示了204例乳腺结节性新生物患者的超声检查和乳腺X线摄影的对比数据:66例患有乳腺癌,138例患有良性疾病。他们提出了6项乳腺癌的超声特征标准,并描述了最常见的良性乳腺肿瘤(纤维腺瘤、结节性乳腺病、囊肿)的超声图像。超声检查在乳腺癌中的敏感性为68.8±7%,在纤维腺瘤中为82.6±8.1%,在结节性乳腺病中为72.8±7.2%,在囊肿中为100%(乳腺X线摄影的相应值分别为76.7±6.4%、69.6±9.8%、74.4±7%和60±11.2%)。在早期乳腺癌的不同年龄类别中,发现超声检查的敏感性和乳腺X线摄影的敏感性存在差异。结果表明,可根据超声标准推测恶性肿瘤的组织结构。作者得出结论,超声检查在乳腺结节性新生物中具有较高的诊断价值,并且可以对恶性和良性病变进行鉴别诊断。