磁共振成像2019，Vol.10Issue(2)：136-139,4.DOI:10.12015/issn.1674-8034.2019.02.012
乳腺黏液腺癌与纤维腺瘤的MRI鉴别诊断分析
MRI differentiation between breast mucinous carcinoma and fibroadenoma
摘要
Abstract
Objective: To explore the MRI differentiation between breast mucinous carcinoma (MCs) and fibroadenoma (FAs) as to improve the diagnostic accuracy of MCs of the breast.Materials and Methods: 31 cases of breast MCs and 50 cases of FAs confirmed by pathology were collected. Results: Breast MCs and FAs T2 WI all showed higher signal intensity on T2 WI. ①Morphology: irregular margins were observed more frequently in MCs, but FAs showed more margin circumscribed. ②ADC value: the mean ADC value of pure-MCs was (1.8±0.5) ×10-3 mm2/s, the mean ADC value of mixed-MCs was (1.0±0.6) ×10-3 mm2/s, the mean ADC value of FAs was (1.4±0.30) ×10-3 mm2/s. ③Internal enhancement characteristic:pure-MCs also showed delayed heterogeneous enhancement (45％, 9/20) and rim enhancement (45％, 9/20), mixed-MCs also showed heterogeneous enhancement (91％, 10/11), FAs showed homogeneous enhancement (44％, 22/50) and heterogeneous enhancement (40％, 20/50) and dark internal septation (14％, 7/50). ④Time signal intensity curve (TIC) : pure-MCs and FAs also showed Ⅰ type, mixed-MCs also showed Ⅲ type. The difference of MCs and FAs was statistically significant (P＜0.05). Conclusions: Breast MCs and FAs are relatively characteristic in MRI. Correctly understanding the characteristics of MRI can improve the diagnostic accuracy of MCs.关键词
乳腺肿瘤/黏液腺癌/纤维腺瘤/磁共振成像Key words
breast neoplasms/mucinous carcinoma/fibroadenoma/magnetic resonance imaging分类
医药卫生引用本文复制引用
赵建秀,盛复庚,周娟,双萍,杨晓燕,殷惠,王婷婷..乳腺黏液腺癌与纤维腺瘤的MRI鉴别诊断分析[J].磁共振成像,2019,10(2):136-139,4.基金项目
国家自然科学基金项目(编号:21575161) （编号:21575161）
