关键词: breast cancer invasive ductal cancer mammography papillary cancer ultrasonography

来  源:   DOI:10.5114/wo.2023.124755   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to investigate and compare ultrasonographic and mammographic findings of papillary breast carcinoma and invasive ductal carcinoma in breast masses that were diagnosed as pathological.
UNASSIGNED: This retrospective study included 88 patients with breast lesions, who underwent ultrasonography, mediolateral oblique-craniocaudal, and tomosynthesis imaging in the Picture Archiving and Communication System between January 2010 and March 2019.
UNASSIGNED: 44 histopathologically diagnosed papillary carcinoma patients and 44 invasive ductal carcinoma patients were divided into groups according to contour, shape, internal structure, calcific-cystic component, echogenicity, posterior acoustic change, skin orientation, and environmental echogenic halo. There was a statistically significant difference between the groups in mammography contour, U/S contour, U/S shape, U/S posterior acoustics, and U/S internal structure. Logistic regression analysis showed that the presence of homogenous appearance (p < 0.001) and absence of shading in the posterior acoustic U/S (p = 0.001) were the most pertinent findings for determining papillary carcinoma. In the U/S, the likelihood of a homogenous tumour being a papillary carcinoma was 16.869 times higher than that of invasive ductal carcinoma, whereas the same probability was 0.1101 times less for a tumour with posterior acoustic shadowing.
UNASSIGNED: It is challenging to differentiate between invasive ductal carcinoma and papillary carcinoma of the breast without histopathological diagnosis both on ultrasound and mammography. The results of our study demonstrated that the ultrasonographic and mammographic findings of invasive ductal carcinoma and papillary carcinoma were like each other. Therefore, it is still not possible to distinguish between these 2 types of cancer only in accordance with these 2 criteria.
摘要:
UNASSIGNED:本研究旨在调查和比较病理诊断的乳腺肿块中乳头状乳腺癌和浸润性导管癌的超声和乳房X线检查结果。
UASSIGNED:这项回顾性研究包括88例乳腺病变患者,他接受了超声检查,中侧斜-颅尾,2010年1月至2019年3月在图片存档和通信系统中进行断层融合成像。
UNASSIGNED:44例经组织病理学诊断为乳头状癌的患者和44例浸润性导管癌的患者根据轮廓进行分组,形状,内部结构,钙化-囊性成分,回声,后声学变化,皮肤方向,和环境回声光环。两组在乳房X线照相术轮廓上有统计学上的显着差异,U/S等高线,U/S形状,U/S后部声学,和U/S内部结构。Logistic回归分析显示,后部声学U/S(p=0.001)中存在均匀外观(p<0.001)和不存在阴影是确定乳头状癌的最相关发现。在U/S中,同质肿瘤为乳头状癌的可能性是浸润性导管癌的16.869倍,而对于具有后声阴影的肿瘤,相同的概率是0.101倍。
UNASSIGNED:在没有超声和乳腺X线摄影的组织病理学诊断的情况下,区分浸润性导管癌和乳头状癌具有挑战性。我们的研究结果表明,浸润性导管癌和乳头状癌的超声检查和乳房X线检查结果彼此相似。因此,仍然无法仅根据这两个标准来区分这两种类型的癌症。
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