微纯超声在分组乳腺微钙化伴或不伴肿块病变评估中的作用

Dina Abolimon, Mohamed Aggag, M. Elkhalek, Mohammad Ahmad Amin
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引用次数: 0

摘要

分组微钙化是乳房x光检查中看到的许多钙化的微小分组。对于无团块簇状微钙化的病理检查,考虑采用乳房x光检查,因为常规超声的可视化是有限的。因此,MicroPure成像提高了其检测和可视化。目的评价微纯超声在超声引导下活检女性乳腺微钙化伴或不伴肿块诊断及特征的准确性。患者和方法本研究包括30名从坦塔癌症中心外科和肿瘤科转介到放射诊断科进行乳房成像和诊断的妇女。结果在诊断方面,26例(86.7%)妇女有肿块,2例(6.7%)妇女在筛查时发现肿块,2例(6.7%)妇女在随访中发现肿块。26例(86.7%)女性呈聚类分布,4例(13.3%)呈节段分布。乳腺微钙化的平均值为12.87±6.64。良性肿块11例(36.7%),恶性肿块19例(63.3%)。组织病理学方面,导管原位癌11例(36.7%),浸润性导管癌8例(26.7%),无异型增生的远端增生6例(20%),不典型导管增生2例(6.7%),硬化性腺病2例(6.7%),纤维纤维化1例(3.3%)。B超(US B)模式可见17例(56.7%),不可见13例(43.4%)。关于MicroPure, 25名(83.3%)女性可见,5名(16.7%)女性不可见。MicroPure和US B模式检测的微钙化平均值分别为8.8±6.61和5.97±6.7。结论微纯扫描是一种有希望的超声工具,可提高乳腺x线摄影对未合并肿块的聚集性微钙化的诊断灵敏度。
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Role of micropure ultrasound in the assessment of grouped breast microcalcifications with or without a mass lesion
Background Grouped microcalcifications are the tiny grouping of the many calcifications seen on mammography. For pathological examination of mass-free clustered microcalcifications, a mammography is considered because its visualization by conventional ultrasound is limited. Therefore, MicroPure imaging improves its detection and visualization. Objective This study aimed to evaluate the accuracy of MicroPure ultrasound in the diagnosis and characterization of breast microcalcifications with or without a mass in women undergoing-guided biopsies by ultrasound. Patients and methods Thirty women who were referred for breast imaging and diagnosis from Surgery and Oncology Departments to the Radiodiagnosis Department at Tanta Cancer Center were included in this study. Results In terms of diagnosis, 26 (86.7%) women had a mass, in two women (6.7%), a mass was discovered during screening and in two women (6.7%), a mass was discovered during follow-up. There were 26 (86.7%) women with a clustered distribution and four (13.3%) with a segmental distribution. The mean value of microcalcification detected by mammography was 12.87±6.64. Eleven women (36.7%) had benign masses and 19 (63.3%) had malignant masses. In terms of histopathology, 11 (36.7%) women were ductal carcinoma in situ, eight (26.7%) were invasive ductal carcinoma, six (20%) with distal hyperplasia without atypia, two (6.7%) with atypical ductal hyperplasia, two (6.7%) with sclerosing adenosis and one (3.3%) with fibroadenosis. Regarding ultrasound B (US B) mode, 17 (56.7%) women were visible and 13 (43.4%) were not visible. Regarding MicroPure, 25 (83.3%) women were visible and five (16.7%) were not visible. The mean value of microcalcification detected by MicroPure and US B mode are 8.8±6.61 and 5.97±6.7, respectively. Conclusions MicroPure scanning is a hopeful ultrasound tool that might enhance the sensitivity for diagnosis clustered microcalcifications which are not combined with breast mass on mammography.
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