80年代土耳其译制电影,80年代外国电影|80年代外国电影有哪些_80年代外国经典电影在线播放地址是多少？

[1]彭龍莊 翁宗杰 凌 文 黨婷婷 劉 敏.乳腺原位癌的超聲診斷與鑒別診斷[J].福建醫(yī)藥雜志,2020,42(05):19-22.
　PENG Longzhuang,WENG Zongjie,LING Wen,et al.Ultrasonic diagnosis and differential diagnosis of the breast carcinoma in situ[J].FUJIAN MEDICAL JOURNAL,2020,42(05):19-22.
點(diǎn)擊復(fù)制

乳腺原位癌的超聲診斷與鑒別診斷()
分享到：

《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期數(shù):
2020年05期
頁(yè)碼:
19-22
欄目:
臨床研究
出版日期:
2020-10-20

文章信息/Info

Title:
Ultrasonic diagnosis and differential diagnosis of the breast carcinoma in situ
文章編號(hào):
1002-2600(2020)05-0019-05
作者:
彭龍莊 翁宗杰 凌 文 黨婷婷 劉 敏1
福建省婦幼保健院超聲科(福州 320001)
Author(s):
PENG Longzhuang; WENG Zongjie;  LING Wen;  DANG Tingting;  LIU Min
Department of Ultrasound, Fujian Maternity and Child Health Hospital, Fuzhou,Fujian 350001, China
關(guān)鍵詞:
乳腺原位癌;  超聲;  鑒別診斷
Keywords:
breast carcinoma in situ;  ultrasonography;  differential diagnosis
分類號(hào):
R737.9
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 分析乳腺原位癌(BCIS)的超聲聲像圖特征,探討其超聲診斷及鑒別診斷。方法 回顧性分析經(jīng)組織病理學(xué)證實(shí)的24個(gè)BCIS病灶、48個(gè)乳腺浸潤(rùn)癌(IBC)病灶、59個(gè)術(shù)前超聲診斷為BI-RADS 4a級(jí)及以上的良性病灶的超聲聲像圖特征,對(duì)3組病灶的超聲表現(xiàn)進(jìn)行對(duì)比分析。結(jié)果 BCIS與IBC的超聲聲像表現(xiàn)在導(dǎo)管擴(kuò)張、內(nèi)部回聲、縱橫比≥0.7、邊界不清、邊緣毛刺、高回聲暈、后方回聲衰減、血流信號(hào)(Alder分級(jí))、腋窩淋巴結(jié)異常方面差異有統(tǒng)計(jì)學(xué)意義(P<0.05),病灶內(nèi)檢出血流信號(hào)者,血流分布以邊緣為主的BCIS占76.9%(10/13),而IBC占25.0%(8/32),差異有統(tǒng)計(jì)學(xué)意義(P=0.001)。BCIS與良性病變比較,其后方回聲增強(qiáng)比率較良性病變低(P<0.01),邊界不清及鈣化比率較良性病變高(P<0.05),檢出鈣化的病灶中,鈣化灶直徑<0.5 mm的BCIS占100%(10/10),良性病變占33.3%(3/9),差異有統(tǒng)計(jì)學(xué)意義(P=0.002)。術(shù)前超聲診斷BCIS的準(zhǔn)確率為37.5%(9/24),其中13個(gè)誤診為良性,2個(gè)未定性。結(jié)論 BCIS病灶常缺乏典型的惡性征象,超聲診斷較困難,多切面仔細(xì)觀察病灶的邊界、邊緣、內(nèi)部回聲、后方回聲、鈣化、導(dǎo)管擴(kuò)張及血流情況等,對(duì)鑒別乳腺良惡性病灶、及時(shí)發(fā)現(xiàn)早期癌變有一定的意義。
Abstract:
Objective To analyze the ultrasonographic features of the breast carcinoma in situ(BCIS), and to discuss its ultrasonic diagnosis and differential diagnosis.Methods Twenty-one patients with 24 lesions of breast carcinoma in situ and 40 patients with 48 lesions of invasive breast carcinomas(IBC)and 57 patients with 59 benign lesions which preoperative ultrasound examination for BI-RADS 4a grade or above were enrolled in this study.All these cases had been verified by ultrasound guided breast biopsy or surgical pathology.The sonographic features were retrospectively reviewed between the three groups with universally accepted standards.Results The ultrasonic characteristic of BCIS and IBC showed statistical differences in duct ectasia, internal echo, A/T≥0.7, obscure boundary,speculated margin, peripheral hyperechoic halo, posterior echo attenuation, blood flow(Alder hierarchical)and axillary adenopathy(P<0.05).Among the lesions whose blood flow signals were detected, the peripheral blood distribution of BCIS accounted for 76.9%(10/13), while IBC accounted for 25.0%(8/32),the difference was statistically significant(P=0.001).Compared with benign lesions, the posterior echo enhancement rate of BCIS was lower(P<0.01), the percentage of obscure boundary and calcification in BCIS were significantly higher than those in benign lesions(P<0.05).For the lesions whose were detected calcification, BCIS accounted for 100%(10/10)and benign lesions accounted for 33.3%(3/9)with the diameter of calcification <0.5 cm,and the difference was statistically significant(P=0.002).The accuracy rate of preoperative ultrasound diagnosis of BCIS was 37.5%(9/24), among which 13 cases were misdiagnosed as benign and 2 cases were undefined.Conclusion BCIS often lack typical malignant features, which makes ultrasonic diagnosis difficult.Observing of the boundary, edge, internal echo, posterior echo, calcification, ductal dilatation and color flow characteristics in multiple sections is significant for the differential diagnosis of breast lesions and the timely detection of early canceration.

參考文獻(xiàn)/References:

[1] 中國(guó)抗癌協(xié)會(huì)乳腺癌診治指南與規(guī)范(2019版)[J].中國(guó)癌癥雜志,2019,29(8):609-680.
[2] 張丹華,唐中華,周琴,等.乳腺癌患者術(shù)后生命質(zhì)量及影響因素的調(diào)查研究[J].現(xiàn)代生物醫(yī)學(xué)進(jìn)展,2014,14(14): 2686-2689.
[3] Han M S, Khan S A.Clinical trials for ductal carcinoma in situ of the breast [J].Journal of Mammary Gland Biology and Neoplasia,2018,23(4): 293-301.
[4] Watanable T,Yamaguchi T,Tsunoda H,et al.Ultrasound image classification of ductal carcinoma in situ(DCIS)of the breast analysis of 705 DCIS lesions[J].Ultrasound Med Biol,2017,43(5):918.
[5] Adler D D,Carson P L,Rubin J M,et al.Doppler ultrasound color flow imaging in the study of breast cancer:preliminary findings [J].Ultrasound Med Biol,1990,16(6):553-559.
[6] 何年安.2013版超聲乳腺影像報(bào)告及數(shù)據(jù)系統(tǒng)分級(jí)解讀與臨床應(yīng)用新進(jìn)展[J].安徽醫(yī)學(xué),2015,36(11):1424-1427.
[7] Fan L,Strasser-Weipp K,Li J J,et al.Breast cancer in China[J].Lancet Oncol,2014,15(7):279-289.
[8] Siegel R L,Miller K D,Jemal A.Cancer statistics,2016[J].CA Cancer J Clin,2016,66(1):7-30.
[9] Bianchini G,Balko J M,Mayer I A,et al.Triple-negative breast cancer:challenges and opportunities of a heterogeneous disease[J].Nat Rev Clin Oncol,2016,13(11):674-690.
[10] Koh V C Y, Lim J C T,Thike A A,et al.Behaviour and characteristics of low-grade ductal carcinoma in situ of the breast:literature review and single-centre retrospective series[J].Histopathology,2019,74(7):970-987.
[11] Yao J J,Zhan W W,Chen M,et al.Sonographic Features of ductal carcinoma in situ of the breast with microinvasion:correlation with clinicopathologic findings and biomarkers[J].Ultrasound Med,2015,34(10):1761-1768.
[12] 鄭靜,徐金鋒,羅慧.伴后方回聲衰減的乳腺良性病變與乳腺癌的超聲鑒別診斷[J].中華超聲影像學(xué)雜志,2014,23(8):728-729.
[13] 胡浩.乳腺癌的彩色多普勒血流分布特征與組織病理學(xué)對(duì)照分析[J].中國(guó)婦幼健康研究,2017,28(4):125-126.
[14] Hofvind S,Iversen B F,Eriksen L,et al.Mammographic morphology and distribution of calcifications in ductal carcinoma in situ diagnosed in organized screening[J].Acta Radiol,2011,52(5):481-487.
[15] 朱麗鈺,婁鑒娟,王思奇,等.乳腺導(dǎo)管原位癌微鈣化X線特征與病理的對(duì)照研究[J].放射學(xué)實(shí)踐,2019,34(11):1237-1241.

相似文獻(xiàn)/References:

[1]林 盈 楊華娟 許小玲 楊 煜 張 韜 王 穎.高頻超聲與雙能量CT聯(lián)合診斷早期痛風(fēng)性關(guān)節(jié)炎的價(jià)值[J].福建醫(yī)藥雜志,2020,42(03):17.
　LIN Ying,YANG Huajuan,XU Xiaoling,et al.The value of high-frequency ultrasound combined with dual-energy CT in the diagnosis of early gouty arthritis[J].FUJIAN MEDICAL JOURNAL,2020,42(05):17.
[2]凌 文 翁宗杰 邱秀青 馬 宏吳秋梅 賴遠(yuǎn)芳 陳錦文 劉 敏.九切面節(jié)段分析法在胎兒復(fù)雜先天性心臟病診斷中的應(yīng)用價(jià)值[J].福建醫(yī)藥雜志,2020,42(06):9.
　LING Wen,WENG Zongjie,QIU Xiuqing,et al.Clinical value of nine-section segmental analysis in the diagnosis of complex fetal congenital heart disease[J].FUJIAN MEDICAL JOURNAL,2020,42(05):9.
[3]陳瓊,葉小芬,王康健,等.伴有不同甲狀腺疾病的乳頭狀癌頸中央?yún)^(qū)淋巴結(jié)轉(zhuǎn)移預(yù)測(cè)模型建立與驗(yàn)[J].福建醫(yī)藥雜志,2023,45(06):4.
　CHEN Qiong,YE Xiaofen,WANG Kangjian,et al.Prediction of papillary thyroid metastases to the central compartment: proposal of a model taking into consideration other thyroid conditions[J].FUJIAN MEDICAL JOURNAL,2023,45(05):4.
[4]林建婷,邱思花,張玲潔,等.妊娠期卵巢透明細(xì)胞癌1例超聲誤診分析[J].福建醫(yī)藥雜志,2024,46(04):118.[doi:10.20148/j.fmj.2024.04.034]
[5]黃蓓蕾,王月桂,陳紅,等.PR基因表達(dá)聯(lián)合超聲影像構(gòu)建HER2陰性乳腺癌腋窩淋巴結(jié)轉(zhuǎn)移預(yù)測(cè)模型及應(yīng)用[J].福建醫(yī)藥雜志,2024,46(08):1.[doi:10.20148/j.fmj.2024.08.001]
　HUANG Beilei,WANG Yuegui,CHEN Hong,et al.Prediction model of axillary lymph node metastasis in HER2 negative breast cancer by PR gene expression combined with ultrasound image and its application[J].FUJIAN MEDICAL JOURNAL,2024,46(05):1.[doi:10.20148/j.fmj.2024.08.001]

備注/Memo

備注/Memo:
1 通信作者,Email:[email protected]
更新日期/Last Update: 2020-10-20