Ultrasonographic and mammographic characteristics of sclerosing adenosis and diagnostic values of ultrasonography and mammography

WANG Fen; CHEN Yaling; CHEN Jiajian; GAO Yi; CHEN Min; CHANG Cai

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Ultrasonographic and mammographic characteristics of sclerosing adenosis and diagnostic values of ultrasonography and mammography

更新时间：2025-12-15

- Ultrasonographic and mammographic characteristics of sclerosing adenosis and diagnostic values of ultrasonography and mammography
- Vol. 25, Issue 2, Pages: 160-163(2016)
- 作者机构：
  
  1. 复旦大学附属肿瘤医院超声科，复旦大学上海医学院肿瘤学系,上海,200032
  2. 复旦大学附属肿瘤医院乳腺外科，复旦大学上海医学院肿瘤学系,上海,200032
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published Online：18 August 2016，
  
  Published：18 August 2016
- 稿件说明：
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王芬,陈雅玲,陈嘉健,等. 超声及X线对乳腺硬化性腺病的诊断价值[J]. 肿瘤影像学, 2016, 25(2): 160-163
DOI：

王芬,陈雅玲,陈嘉健,等. 超声及X线对乳腺硬化性腺病的诊断价值[J]. 肿瘤影像学, 2016, 25(2): 160-163 DOI：

摘要

目的：

探讨乳腺硬化性腺病的声像图与X线特征，比较超声与X线的诊断价值。

方法：

分析145例乳腺硬化性腺病患者的超声和X线特征，根据乳腺影像与数据报告系统(Breast Imaging Reporting and Data System

BI-RADS）进行分类。

结果：

共151个病灶，超声表现为片状低回声型9.3%，结节或肿块型65.6%，局部声影型4.0%，阴性21.2%。136例行X线检查，钙化型31.6%，肿块影23.5%，非对称性致密影14.7%，局部结构扭曲22.8%，7.4%阴性。超声、X线对良恶性判断的准确率分别为53.6%、40.4%。

结论：

硬化性腺病缺乏典型的声像图及X线表现，影像科医师对该病的认识有待提高。

Abstract

Objective:

To evaluate the ultrasonographic and mammographic characteristics of sclerosing adenosis (SA)

and compare the diagnostic accuracy of the two radiological methods.

Methods:

Imaging characteristics of 151 lesions pathologically confirmed as SA were reviewed. All the lesions were graded by Breast Imaging Reporting and Data System (BI-RADS).

Results:

A total of 151 lesions were found in 145 patients. All the patients underwent ultrasonography

and imaging findings were as follows: heterogeneously echogenic areas in 9.3% (14/151)

mass lesions in 65.6% (99/151)

focal acoustic shadowing in 4.0%(6/151)

and negative in 21.2% (32/151). A total of 136 patients underwent mammography

and imaging finding

s were as follows: microcalcifications in 31.6% (43/136)

masses in 23.5% (32/136)

asymmetric focal density in 14.7% (20/136)

focal architectural distortion in 22.8% (31/136)

and negative in 7.4% (10/136). Comparing BI-RADS category with histopathology

the accuracy of ultrasonography was higher than mammography (53.6% vs. 40.4%).

Conclusion:

There are no specific imaging characteristics of SA

and further studies about this disease are needed.

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