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.