中国妇幼健康研究2016,Vol.27Issue(6):745-748,4.DOI:10.3969/j.issn.1673-5293.2016.06.025
乳腺癌超声表现与病理组织学分类的关联
Correlation between ultrasonographic findings of breast cancer and its histopathologic classification
张长虹 1张东萍1
作者信息
- 1. 济宁医学院附属医院体检中心超声科,山东济宁272100
- 折叠
摘要
Abstract
Objective To explore the correlation between ultrasonographic findings of breast cancer and its histopathological classification and grading .Methods A total of 97 cases of breast cancer were selected as research objects .All these patients underwent surgical treatment at the Affiliated Hospital of Jining Medical College from February 2013 to April 2015.They received B ultrasound examination before operation and pathological examination after operation .Correlation between the ultrasonographic findings of breast cancer and its histopathological classification as well as grading was analyzed .Results Patients with infiltrating lobular carcinoma had significantly higher rate of irregular shape of mass (73.17% vs 39.29%) and positive rate of speculation sign (68.29% vs 41.07%) than patients with infiltrating ductal carcinoma.The difference was of statistical significance (χ2 value was 10.931 and 7.034, respectively, both P<0.05). The positive rate of micro-calcification was significantly lower in patients with infiltrating lobular carcinoma (24.39%) than pthose with infiltrating ductal carcinoma (91.07%).The difference was statistical significant (χ2 =45.092,P<0.05).No statistically significant difference was identified between patients of the two different pathological types in posterior echo attenuation rate and positive sign of blood flow (χ2 value was 3.573 and 1.516, respectively, both P>0.05).Patients with poorly differentiated breast cancer had significantly higher rate of irregular shape of mass (65.22%) and positive sign of blood flow (82.61%) than patients with high (21.21%) or middle (42.42%) differentiation of breast cancer .The difference was of statistical significance (χ2 value was 11.001 and 9.040, respectively, both P<0.05).No statistically significant difference was identified in speculation sign , posterior echo attenuation rate and incidence rate of micro-calcification among patients with different differentiated degree of breast cancer (χ2 value was 0.063, 1.883 and 0.014, respectively, all P>0.05).Conclusion Certain correlation exists between breast cancer patients ’ pathological type and histological grading with their ultrasonographic findings .Results of preoperative ultrasound examination of breast cancer act as an implication for its pathological diagnosis .关键词
乳腺癌/病理类型/分级/超声Key words
breast cancer/pathological type/grading/ultrasound分类
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张长虹,张东萍..乳腺癌超声表现与病理组织学分类的关联[J].中国妇幼健康研究,2016,27(6):745-748,4.