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患者,女,44岁。因左乳无痛性包块,渐增大来 诊。查体:双乳等大,皮肤无红肿等改变,左乳内上 象限可触及约3cm×3cm×2cm大的包块,边界清,无 压痛,与皮肤及胸壁无粘连,活动好。彩超示:左乳 内上象限见大小为2.0cm×1.9cm×2.5cm的低回 声,边界清,周边有完整浅声晕包绕,后方回声无衰 减(图1)。彩色多普勒示其内有点状血流信号。脉冲 多普勒取样为动脉血流频谱,RI=0.94。双侧腋窝未 见肿大淋巴结。超声诊断:左乳实性肿块(乳癌可
Patient, female, 44 years old. Due to painless mass of left breast, gradually increasing consultation. Physical examination: such as large breasts, skin redness and other changes in the left upper quadrant within the quadrant can reach about 3cm × 3cm × 2cm large mass, clear boundary, no tenderness, no adhesion with the skin and chest wall, good activity. Color ultrasonography: the upper left quadrant of the left breast see the size of 2.0cm × 1.9cm × 2.5cm low echo, the border clear, surrounded by a complete shallow halo halo around the rear echo without attenuation (Figure 1). Color Doppler showed that there is a bit of blood flow signal. Pulsed Doppler sampling arterial blood flow spectrum, RI = 0.94. No bilateral axillary lymph nodes. Ultrasound diagnosis: left breast lumps (breast cancer can be