Relationship between pathological features and lymph node metastasis in ultrasound BI-RADS category 3-4B breast cancer

YI Chunbei; DING Zhiying; NIE Chenlei; GONG Haiyan; DENG Jing; LI Cuiying

doi:10.19732/j.cnki.1008-617X.2018.05.014

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Relationship between pathological features and lymph node metastasis in ultrasound BI-RADS category 3-4B breast cancer

更新时间：2025-12-15

- Relationship between pathological features and lymph node metastasis in ultrasound BI-RADS category 3-4B breast cancer
- Vol. 27, Issue 5, Pages: 406-411(2018)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.1008-617X.2018.05.014
  CLC：
- Published Online：14 November 2018，
  
  Published：14 November 2018
- 稿件说明：
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易春蓓,丁志颖,聂晨蕾,等. 超声BI-RADS 3~4B类乳腺恶性肿瘤的病理特点及其与淋巴结转移关系的分析[J]. 肿瘤影像学, 2018, 27(5): 406-411 https://doi.

org/10.19732/j.cnki.1008-617X.2018.05.014
易春蓓,丁志颖,聂晨蕾,等. 超声BI-RADS 3~4B类乳腺恶性肿瘤的病理特点及其与淋巴结转移关系的分析[J]. 肿瘤影像学, 2018, 27(5): 406-411 https://doi. DOI： 10.19732/j.cnki.1008-617X.2018.05.014.

org/10.19732/j.cnki.1008-617X.2018.05.014 DOI：

摘要

目的：

研究超声乳腺影像报告和数据系统（Breast Imaging Reporting and Data System，BI-RADS）3~4B类且病理证实为恶性的乳腺二维声像图特点，分析其病理特点及淋巴结转移情况。

方法：

回顾性分析南京医科大学第一附属医院176例患者超声BI-RADS 3~4B类并经手术后病理学检查证实为恶性肿瘤的190个病灶，包括肿块大小、形态、边缘、方位、后方回声、钙化、血流、病理类型、分子分型及淋巴结是否转移。

结果：

BI-RADS 3~4B类乳腺恶性肿瘤的病理类型主要为导管原位癌、黏液腺癌、乳头状癌及浸润性导管癌（

=45.566，

＜0.05），其中淋巴结转移差异有统计学意义（

=7.449，

＜0.05），病理分子分型差异无统计学意义（

=3.710，

＞0.05）。

结论：

BI-RADS 3~4B类乳腺恶性肿瘤大多数为早期乳腺癌，随着超声BI-RADS分级增高，淋巴结转移率增加，但总体恶性程度较低，综合评估预后较好。

Abstract

Objective:

To study the characteristics of breast cancer with ultrasound Breast Imaging Reporting and Data System (BI-RADS) category 3-4B

which was pathologically proved to be malignant

and to explore the pathological classification and lymph node metastasis.

Methods:

A retrospective analysis of 176 BI-RADS category 3-4B breast cancer patients with 190 lesions was performed. The features including size

shape

edge

orientation

osterior echo

calcification

blood flow

pathological type

molecular typing and lymph node metastasis were analyzed.

Results:

The main pathological types included ductal carcinoma in situ

mucous adenocarcinoma

papillary carcinoma

and infiltrating ductal carcinoma (

=45.566

＜0.05). There was significant difference in lymph node metastasis (

=7.449

＜0.05)

but no difference in molecular typing (

=3.710

＞0.05).

Conclusion:

The majority of breast malignant tumors with BI-RADS category 3-4B are in early stage. With the increasing ultrasound grades

the rate of lymph node metastasis is rising

but the overall prognosis is better.

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