目的:探讨超声(US)特征在诊断乳腺纤维瘤病(BF)中的价值,并评估其与乳腺癌的差异。
方法:共纳入121例BF(n=24,29个病灶)或乳腺浸润性导管癌(IDC)(n=97,102个病灶)患者。记录并分析他们的临床和美国发现。
结果:BF的平均年龄小于IDC(28.75±5.55vs.50.19±9.87,p<0.001)。BF的平均大小小于IDC的平均大小(2.09±0.91vs.2.71±1.20,p=0.011)。与IDC相比,BF具有更多的后回波衰减频率(p<0.001),外周高回声晕的频率较低(p=0.002),钙化(p=0.001),美国报告腋窝淋巴结阳性(p=0.025),和2-3级血管分布(p<0.001)。乳腺成像报告和数据系统将BF分类为低于IDC的水平(p<0.001)。在调整了年龄之后,周围的高回声光环,后回声特征,和血管分布可以独立识别这两个实体之间的差异。
结论:观察到BF和IDC在患者年龄方面的一些差异,病变大小,美国特色。
OBJECTIVE: To explore the value of ultrasound (US) characteristics in diagnosing breast fibromatosis (BF) and evaluate their differences from breast carcinoma.
METHODS: A total of 121 patients with BF (n = 24, 29 lesions) or invasive ductal carcinoma (IDC) (n = 97, 102 lesions) of the breast were included. Their clinical and US findings were recorded and analyzed.
RESULTS: The mean age of BF was younger than that of IDC (28.75 ± 5.55 vs. 50.19 ± 9.87, p < 0.001). The mean size of the BF was smaller than that of IDC (2.09 ± 0.91 vs. 2.71 ± 1.20, p = 0.011). Compared to IDC, BF had more frequency of posterior echo attenuation (p < 0.001), less frequency of peripheral hyperechoic halo (p = 0.002), calcification (p = 0.001), US reported axillary lymph node positive (p = 0.025), and grade 2-3 vascularity (p < 0.001). The Breast Imaging Reporting and Data System categorized BF at a lower level than IDC (p < 0.001). After adjusting for age, the peripheral hyperechoic halo, posterior echo feature, and vascularity could independently identify the differences between these two entities.
CONCLUSIONS: Some differences were observed between BF and IDC in terms of patient age, lesion size, and US characteristics.