高频彩色多普勒超声在诊断乳腺导管内乳头状瘤中的应用

目的 探讨高频多普勒超声对乳腺导管内乳头状瘤的诊断价值以及与其他相关疾病的鉴别诊断.方法 回顾性分析经手术及病理证实的112例乳腺导管内乳头状瘤的高频多普勒超声的声像图特征,并对其误诊病例的声像图特征、误诊原因进行分析.结果 112例乳腺导管内乳头状瘤,有1例超声提示无异常发现,其余111例根据声像图特征分为5种类型....

Application of high frequency color Doppler ultrasound in diagnosis of breast intraductal papilloma

Objective To explore the value of high frequency color Doppler ultrasound in diagnosis of breast intraductal papilloma （BIDP） and differential diagnosiss of other correlated diseases. Methods The sonographic characteristics of 112 patients with BIDP confirmed by surgery and pathology were analyzed retrospectively, then the sonographic characteristics and causes of missed cases were analyzed. Results In 112 cases of BIDP, no abnormality was found in 1 case by ultrasound, then the rest 111 cases were divided into 5 types. Typy I included 30 cases of ductal ectasia with intraductal solid nodes, punctiform blood flow signals were detected in 6 cases ; type II included 11 cases of cystic - solid mixed masses, punctiform blood flow signals were detected in 7 cases of solid masses, and high resistance arterial spectra was detected in 4 cases, while punctifonn calcification lesions were found in 5 cases; type Ⅲ included 20 cases of simple ductal ectasia, no abnormality was found in ductus; type IV included 27 cases of ductal ectasia with solid nodes in distal end, punctiform blood flow signals were detected in 6 cases, and punctiform calcification lesions were found in 1 case; type V included 23 cases of solid nodes without ductal ectasia, punctiform blood flow signals were detected in 7 cases, high resistance arterial spectra was detected in 4 cases. Conclusion High frequency color Doppler ultrasound has high value in diagnosis of BIDP, it is an accurate and sensitive method. Combined with other clinical manifestion, it can improve the diagnostic rate.