Value of contrast-enhanced and conventional ultrasound in differential diagnosis of breast phyllodes tumors and fibroadenomas

FANG Jianqiang; SHAN Shisheng; ZHAO Weian; LI Qing; MA Xiaoyan

doi:10.19732/j.cnki.1008-617X.2018.05.017

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Value of contrast-enhanced and conventional ultrasound in differential diagnosis of breast phyllodes tumors and fibroadenomas

更新时间：2025-12-15

- Value of contrast-enhanced and conventional ultrasound in differential diagnosis of breast phyllodes tumors and fibroadenomas
- Vol. 27, Issue 5, Pages: 421-425(2018)
- 作者机构：
  
  1. 咸阳市中心医院介入超声科,陕西,咸阳,712000
  2. 咸阳市中心医院腺体血管外科,陕西,咸阳,712000
  3. 咸阳市中心医院病理科,陕西,咸阳,712000
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.1008-617X.2018.05.017
  CLC：
- Published Online：14 November 2018，
  
  Published：14 November 2018
- 稿件说明：
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方建强,单世胜,赵维安,等. 超声造影及常规超声在乳腺叶状肿瘤与纤维腺瘤鉴别诊断中的价值[J]. 肿瘤影像学, 2018, 27(5): 421-425 https://doi.

org/10.19732/j.cnki.1008-617X.2018.05.017
方建强,单世胜,赵维安,等. 超声造影及常规超声在乳腺叶状肿瘤与纤维腺瘤鉴别诊断中的价值[J]. 肿瘤影像学, 2018, 27(5): 421-425 https://doi. DOI： 10.19732/j.cnki.1008-617X.2018.05.017.

org/10.19732/j.cnki.1008-617X.2018.05.017 DOI：

摘要

目的：

探讨超声造影及常规超声在乳腺叶状肿瘤与纤维腺瘤鉴别诊断中的应用价值。

方法：

选取咸阳市中心医院术前行常规超声和超声造影检查且经病理学检查确诊的患者80例（叶状肿瘤23例、纤维腺瘤57例），回顾性分析其常规超声和超声造影表现。

结果：

肿瘤的大小、边界、纵横比、钙化灶及后方回声等在叶状肿瘤与纤维腺瘤之间差异无统计学意义（

0.05），患者年龄、肿瘤形态、是否存在裂隙状无回声区、有无高回声间隔、血流丰富程度、造影剂增强程度和均匀度等在叶状肿瘤与纤维腺瘤之间差异有统计学意义（

0.05）。叶状肿瘤多表现为边界清晰的分叶状病灶，纵横比1，少有钙化灶，后方回声增强，血流丰富（多为Ⅱ、Ⅲ级），裂隙状无回声和高回声间隔较纤维腺瘤多见。超声造影图像上，叶状肿瘤多表现为不均匀性低或等增强，纤维腺瘤多表现为均匀性高增强。

结论：

超声造影及常规超声对乳腺叶状肿瘤与纤维腺瘤有一定的鉴别诊断价值，可为临床手术方式的选择提供参考。

Abstract

Objective:

To study the value of contrast-enhanced and conventional ultrasound in differential diagnosis of breast phyllodes tumors and fibroadenomas.

Methods:

A retrospective analysis was performed in 80 cases which were pathologically confirmed (23 cases with phyllodes tumors

57 cases with fibroadenomas).

Results:

There was no significant difference in tumors' size

boundary

aspect ratio

calcifications or posterior echo (

0.05)

while there were significant differences in age

tumors' shape

ether slit-shaped anechoic area or not

whether hyperechoic intervals or not

vascularization grade

degrees and homogeneities of contrast enhancement (

0.05) between breast phyllodes tumors and fibroadenomas. The breast phyllodes tumors were characterized on ultrasound by clear boundary

aspect ratio 1

rare calcifications

posterior echo enhancement

lobulated

abundant flow

slitshaped anechoic area and hyperechoic intervals

which were more common than fibroadenomas. On contrast-enhanced ultrasound phyllodes tumors were characterized by heterogeneously hypo- or iso-enhancement

while fibroadenomas showed homogeneously hyper-enhancement.

Conclusion:

Contrast-enhanced ultrasound and conventional ultrasound have a certain value in the differential diagnosis of breast phyllodes tumors and fibroadenomas

which might provide a helpful reference for the selection of surgical methods.

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