Comparative analysis of ultrasound diagnosis and the clinicopathology results of invasive cribriform carcinoma of breast

WANG Haifei; WANG Guanjie; CAO Yunyun; GONG Xiaoping; NIU Jianmei

doi:10.19732/j.cnki.2096-6210.2019.04.005

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Comparative analysis of ultrasound diagnosis and the clinicopathology results of invasive cribriform carcinoma of breast

更新时间：2025-12-15

- Comparative analysis of ultrasound diagnosis and the clinicopathology results of invasive cribriform carcinoma of breast
- Vol. 28, Issue 4, Pages: 232-236(2019)
- 作者机构：
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- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2019.04.005
  CLC：
- Published Online：12 September 2019，
  
  Published：12 September 2019
- 稿件说明：
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王海飞,王冠杰,曹云云,等. 乳腺浸润性筛状癌的超声诊断与临床病理学对照分析[J]. 肿瘤影像学, 2019, 28(4): 232-236 https://doi.

org/10.19732/j.cnki.2096-6210.2019.04.005
王海飞,王冠杰,曹云云,等. 乳腺浸润性筛状癌的超声诊断与临床病理学对照分析[J]. 肿瘤影像学, 2019, 28(4): 232-236 https://doi. DOI： 10.19732/j.cnki.2096-6210.2019.04.005.

org/10.19732/j.cnki.2096-6210.2019.04.005 DOI：

摘要

目的：

探讨乳腺浸润性筛状癌（invasive cribriform carcinoma，ICC）的超声声像图表现及临床病理学特征，以提高对该疾病的认识及诊断水平。

方法：

收集2008年1月2018年8月上海交通大学医学院附属国际和平妇幼保健院收治的21例经手术后病理学检查证实为乳腺ICC的患者，分析其超声声像图表现及临床病理学资料。

结果：

患者均为女性，发病年龄为33~78岁，中位年龄53岁，病灶均发生于单侧。42.9%（9/21）患者筛状结构达100%，23.8%（5/21）患者筛状结构为50%~99%，33.3%（7/21）患者筛状结构＜50%；3例伴腋窝淋巴结转移。超声声像图表现：病灶内部均为低回声，5例内伴点状钙化，90%边界不清晰或欠清晰，95%形态不规则或欠规则，71.4%内部和（或）周边可测及血流信号。95.2%（20/21）患者超声诊断为乳腺影像报告和数据系统（breast imaging reporting and data system，BI-RADS）4A类及以上，1例诊断为BI-RADS 3类。

结论：

通过掌握乳腺ICC的超声表现及临床病理学特点，有望提高对该疾病的认识及诊断水平。

Abstract

Objective:

To study the ultrasonographic appearances and clinical features of invasive cribriform carcinoma (ICC) of breast for improving the understanding and diagnosis results of the disease.

Methods:

Twenty-one cases of ICC confirmed by pathol-ogy examination after surgery in International Peace Maternity and Child Health Hospital from Jan. 2008 to Aug. 2018 were collect-ed

and their ultrasonographic features and clinicopathological data were analyz

ed.

Results:

All patients were females. The age of onset was 33-78 years and the median age was 53 years old. All the lesions occurred unilaterally. 42.9% (9/21) cases had 100% sieve structure

23.8% (5/21) cases had 50%-99% sieve structure and 33.3% (7/21) cases had less than 50% sieve structure. Three cases combined with axillary lymph node metastasis. Ultrasonographic features: all lesions manifest as hypoechoic nodules. Combined with punctate calcification in 5 cases. About 90% lesions showed unclear boundaries and about 95% lesions showed irregular shapes. Blood flow signals could be detected internally and (or) peripherally in 71.4% lesions. Ultrasound diagnosis results: 95.2% (20/21) cases were diagnosed as breast imaging reporting and data system (BI-RADS) 4A or above

and 1 case was diagnosed as BI-RADS 3.

Conclusion:

By reviewing the ultrasonographic features and clinicopathological features of ICC

we could improve the understand-ing and diagnosis results of this disease.

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