【摘 要】
：
目的 探讨HER-2型乳腺癌腋窝淋巴结超声造影的增强模式.方法 对女性乳腺癌患者术前超声造影探查腋窝淋巴结并标记,术后肿块做免疫组织化学检查,选择术后免疫组化结果为HER-2型的46例患者的超声造影图像进行回顾性分析.结果 本研究46例HER-2型乳腺癌病例中,超声造影检查有腋窝淋巴结转移组9例为非均匀增强,18例为无增强；超声造影检查无腋窝淋巴结转移组14例为均匀增强,5例为不增强；超声造影发现
【出 处】
：
中国超声医学工程学会第三届全国介入超声医学学术会议
论文部分内容阅读
目的 探讨HER-2型乳腺癌腋窝淋巴结超声造影的增强模式.方法 对女性乳腺癌患者术前超声造影探查腋窝淋巴结并标记,术后肿块做免疫组织化学检查,选择术后免疫组化结果为HER-2型的46例患者的超声造影图像进行回顾性分析.结果 本研究46例HER-2型乳腺癌病例中,超声造影检查有腋窝淋巴结转移组9例为非均匀增强,18例为无增强；超声造影检查无腋窝淋巴结转移组14例为均匀增强,5例为不增强；超声造影发现HER-2型乳腺癌腋窝淋巴结转移率为58.7％ (27/46),超声造影判断腋窝淋巴结转移的敏感度为84.6％,特异度为75.0％,准确度为80.4％.结论 HER-2型乳腺癌腋窝淋巴结超声造影增强模式有一定的规律,即,有转移组腋窝淋巴结增强模式为不增强和非均匀性增强并存,但主要表现为淋巴结不增强；无转移组腋窝淋巴结增强模式主要表现为淋巴结均匀增强.
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