To evaluate the value of conventional ultrasound combined with contrast-enhanced ultrasound (CEUS) in the diagnosis of triple negative breast cancer (TNBC).
Methods:
Eighty cases of patients with breast cancer were analyzed retrospectively. According to the immunohistochemical results postoperatively
atients were divided into TNBC group and non-TNBC group. Subsequently
the characteristics of the two groups in conventional ultrasound an
d CEUS were analyzed.
Results:
Firstly
there were statistically significant differences between TNBC and non-TNBC in the boundary
morphology and orientation of nodules in conventional ultrasound images (
P
0.05). Most lesions in TNBC appeared as smooth boundary
irregular morphology
and parallel to the skin. However
non-TNBC appeared as burr or crab-footed boundary
irregular morphology
and not parallel to the skin. Secondly
degree of edge enhancement
boundary enhancement
morphology enhancement
the distribution of contrast agents
and whether the lesion was significantly enlarged before and after CEUS were significantly different between the two groups (
P
0.05). Following CEUS
most lesions in TNBC appeared as internal heterogeneous enhancement
high enhancement edge
clear boundary
irregular morphology
and no significant increase before and after CEUS. Non-TNBC appeared as unclear boundary
irregular morphology
and significant increase before and after CEUS.
Conclusion:
The characteristics in CEUS such as degree of edge enhancement
boundary enhancement
morphology enhancement
the distribution of contrast agents
whether the lesion was significantly enlarged before and after CEUS combined with the characteristics in conventional ultrasound images has a certain diagnostic value.