乳腺黏液腺癌的超声诊断及误诊分析

目的 分析超声诊断乳腺黏液腺癌的应用价值.方法 对2007年1月至2014年2月我院手术病理证实的乳腺黏液腺癌12例的超声图像和病理资料进行综合分析.结果 12例乳腺黏液腺癌术前超声提示乳腺癌5例（41.7％）,漏诊7例（58.3％）,其中未定性4例（33.3％）,误诊为良性包块3例（25％）.其声像图像具备良性肿块特征：低回声包块,边界清,假包膜形成,后方回声增强,内部血流稀少.结论 乳腺黏液腺癌恶性特征不明显,超声容易漏误诊.

The CDFI Diagnosis and Misdiagnosis Analysis of Mucinous Breast Carcinoma

Objective To evaluate the diagnostic value of ultrasonography in mucinous breast carcinoma. Method The ultrasonography and pathological data of 12 cases of mucinous breast carcinoma from 2007-2014 in our hospital were analysed retrospectively. Result In 12 cases of mucinous breast carcinoma, the sensitivity of diagnosing carcinomas with CDFI was only 41.7% （5/12）. The uncertain rate was 33.3% （4/12） and the misdiagnosis rate of diagnosing benign tumor was 25 % （3/12）. The ultrasonogram of mucinous breast carcinoma presents features of benign breast lumps： hypoechoic, welldefined, presence of pseudocapsule, posterior acoustic enhancement, rare color flow signal inside, etc. Conclusion Mucinous breast carcinoma exhibits few features of malignant mass, it is easily missed diagnosis or misdiagnosis by ultrasonography.