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目的:探讨高频彩色多普勒超声对妊娠哺乳期乳腺癌的诊断价值。方法:回顾性分析25例经临床、手术病理证实为妊娠哺乳期乳腺癌患者的高频彩色多普勒超声表现及特点。结果:妊娠哺乳期乳腺癌患者的声像图表现为肿块均体积较大,边缘不规则,11例可见假包膜,8例回声以囊性暗区为主,10例有囊实性相间回声,7例以实质性回声为主,6例肿块内可见微钙化灶,17例肿块内血流信号丰富,频谱呈高速高阻,18例患侧腋窝检出肿大淋巴结。术前超声诊断符合率76%。结论:妊娠哺乳期乳腺癌声像图具有特征性,高频彩色多普勒超声检查可作为妊娠哺乳期乳腺癌筛查的首选影像学检查方法。
Objective: To investigate the diagnostic value of high frequency color Doppler ultrasonography in breast-feeding during pregnancy and lactation. Methods: Retrospective analysis of 25 cases of clinical, surgical pathology confirmed as breast-feeding during pregnancy and breast-feeding in patients with high-frequency color Doppler ultrasound findings and characteristics. Results: Breast cancer in breast-feeding breast ultrasound imaging showed volume are larger, irregular edge, 11 cases can be seen pseudocapsule, 8 cases of cystic dark area echo-based, 10 cases of cystic solid phase echo , 7 cases were mainly echogenic, 6 cases showed microcalcification in the mass, 17 cases were rich in blood flow signal, high-speed high-impedance spectrum, 18 cases of axillary lymph node enlargement. Preoperative ultrasound diagnostic accuracy of 76%. Conclusion: Mammograms of breast-feeding during pregnancy and breast-feeding have characteristic features. High-frequency color Doppler ultrasonography can be used as the imaging method of choice for breast-cancer screening during pregnancy and lactation.