乳头派杰病的超声表现及病理对照研究

来源 :中国超声医学工程学会成立30周年暨第十二届全国超声医学学术大会 | 被引量 : 0次 | 上传用户:jsyzcqg
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  方法 分析经手术、病理证实的21例乳头派杰病的声像图表现,并与病理结果对照.结果 17例乳头派杰病发现病变乳头体积增大,形态不规则,边界不清(占80.95%); 18例乳头派杰病乳头内部回声不均匀(占85.71%),其中5例乳头内部见钙化灶,9例乳头内部导管扩张;20例乳头派杰病病变乳头血流信号较对侧丰富(占95.24%);16例乳头派杰病出现乳头深部乳腺组织回声异常(占76.19%),其中9例表现为沿导管方向分布的密集细小钙化灶,3例表现为乳导管扩张、导管壁增厚,4例表现为不规则低回声结节.结论 乳头体积增大,形态不规则,边界不清,乳头内部回声不均匀,病变乳头血流信号较对侧丰富是乳头派杰病诊断的重要指标.乳头派杰病多合并乳头深部乳腺组织内导管原位癌或浸润性导管癌,不合并癌的派杰病少见,超声多表现为乳头深部乳腺组织内乳导管扩张,导管壁增厚、毛糙,并可见沿导管方向分布的微钙化灶.乳腺超声检查对于乳头派杰病具有重要诊断价值.
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