Abstract：Objective: To explore the ultrasonographic features and characteristics of breast fibroadenoma and lobular tumor, to provide guidance for the imaging diagnosis of breast lesions. Methods: Pathologically proved breast fibroadenoma (n=86 cases), phyllodes tumor (21 cases) of patients with clinical data, 2-D ultrasound and color Doppler flow information were collected. The differences and similarities of ultrasonic manifestations of two kinds of breast lesions were compared and analyzed statistically. Results: The maximum diameter of the breast fibroadenoma was (20.14 + 8.71) mm. The boundary of the lesion was clear and the shape was more regular in the oval shape and the Doppler spectrum was a low resistance type. The blood flow signal 0~ grade I was 68.6%. The internal echo was most homogeneous, the internal echo of the lesion was slightly hypoechoic to equal echo, a few echoes in the rear were enhanced, the calcification in the tumor was rare, and the cystic degeneration was not detected. Phyllodes tumor of the largest tumor diameter was (32.59 + 10.49) mm. The boundary was clear, lobulated edge and many of the internal echo unevenly, visible high echo separation. The blood flow signal II ~ III grade accounted for 61.9%. There were fewer cystic changes and calcification in the lesion. Compared with phyllodes tumor of breast fibroadenoma, the maximum diameter of the lesions, the average detection rate and tumor cystic degeneration were lobulated were significantly reduced (P<0.05), internal echo and blood flow signal less uniform examination rate (0~ grade) was increased (P<0.05). There was no statistically significant difference in the aspect ratio, axillary lymph node change, calcification detection rate, Vmax and RI index between the two groups (P>0.05). Conclusion: Color Doppler ultrasound is part of a specific index in the prediction of breast fibroadenoma and phyllodes tumors, but the ultrasound findings of two there is also a certain coincidence, clinical qualitative judgment, must pay attention from more angles.
[1] 张伟娟,周宁,施全,等.乳腺纤维腺瘤的超声、MRI影像诊断价值比较分析[J].中国CT和MRI杂志,2017,7(1):34~36. [2] 季堃,张国锋.乳腺分叶状肿瘤诊疗进展[J].外科研究与新技术,2015,4(1):4~8. [3] 毕名森,曹军英,张岩,等.探讨血流分级对超声引导下BI-RADS4级乳腺病灶穿刺活检的价值[J].医学影像学杂志,2017,(4):663~666. [4] 吴苏玲,张浩,邓晶,等.彩色多普勒超声对乳腺纤维腺瘤和分叶状肿瘤的鉴别诊断价值[J].江苏医药,2017,43(8):589~591. [5] Lee KH, Kim SJ, Park YM, et al. Gray-scale and color dopplersonographic features of complex fibroadenomas of the breast[J].Clin Ultrasound,2015,43(9): 556~562. [6] Belkacemy Y,Bousqrt G,Marsigliah H,et al.Phyllodes tumor of the breast[J].Int Radiat Oncol BiolPhys,2008,17(11):492~500. [7] 王玉霞.乳腺分叶状肿瘤的超声表现与病理对照分析[J].中国中西医结合影像学杂志,2014,12(5):490~494
2018, Vol. 24 
冀公网安备13080202000786号