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目的:总结乳腺叶状肿瘤的超声特征以提高对本病的识别。方法:对13例经手术病理证实为乳腺叶状肿瘤的临床表现与超声声像图进行分析。结果:13例乳腺叶状肿瘤的病理诊断良性7例,交界性4例,恶性2例。12例超声表现为低回声,7例出现囊性变,8例后方回声增强,形态呈圆形、分叶状或有角状突起。均未发现乳头内陷、周围组织侵润及转移淋巴结等恶性征象。结论:超声检查对乳腺叶状肿瘤的特异性征象能为临床鉴别诊断及治疗方案的选择具有较高的价值。
Objective: To summarize the ultrasonic characteristics of breast phyllodes tumor to improve the recognition of this disease. Methods: The clinical manifestations and sonography of 13 cases of breast phyllodes tumor confirmed by surgery and pathology were analyzed. Results: The pathological diagnosis of 13 cases of breast phyllodes tumor was benign in 7 cases, borderline in 4 cases and malignant in 2 cases. In 12 cases, the echogenicity was hypoechoic, cystic change in 7 cases, echogenic enhancement in the posterior part of 8 cases, round, lobulated or angular protuberances. No nipple retraction, peripheral tissue invasion and metastasis of lymph nodes and other malignant signs were found. CONCLUSIONS: The specific signs of breast phyllodes tumor by ultrasound may be of great value in the differential diagnosis and treatment options.