Abstract：Objective: To analyze the application value of color Doppler ultrasound diagnostic apparatus in the diagnosis of breast phylloid tumors. Methods: A retrospective study was conducted to analyze the ultrasonographic and pathological data of 64 patients with breast phyllodes tumors. The data were processed by statistical software. Results: The pathological results showed that among 64 cases of phyllodes tumor of the breast, 10 cases of malignant tumor, 18 cases of borderline tumor, 36 cases of benign tumors, without axillary lymph node enlargement. The diagnostic accuracy rate of ultrasound among 64 patients was 34.38%, of which 46.88% were misdiagnosed as fibroadenoma of breast, and the benign, borderline and malignant misdiagnosed as breast fibroadenoma respectively 55.56%, 50.00%, 10.00%. In the two-dimensional ultrasonic imaging, there were significant differences between patients with breast phyllodes tumors of different nature in the clearness of lesion boundary, cystic echo area, homogeneity of internal echo and hyperechoic septum (P<0.05), and there was no significant difference in the shape of the lesion, the diameter of the tumor, the presence of calcification and the enhancement of the posterior echo (P>0.05). 64 patients with phyllodes tumor of the breast showed different degrees of blood flow signals, and there was no significant difference in blood flow signal grading between patients with different tumors (P>0.05). Conclusion: Breast phyllodes tumors have some characteristics of ultrasonography. Whether there are small cystic anechoic areas and hyperechoic segregation within the tumors and whether the boundary of the tumors is clearly visible is an important basis for judging the benign and malignant of breast phyllodes tumors, suggesting that ultrasonography has a good application value in the clinical diagnosis of breast phyllodes tumors.
江桂琼, 甘科红, 陈旭玲, 陈海燕. 彩色多普勒超声诊断仪在乳腺叶状肿瘤诊断中的彩超表现及其应用价值分析[J]. 河北医学, 2019, 25(7): 1170-1173.
JIANG Guiqiong, et al. Application Value Analysis on Color Doppler Ultrasound Diagnostic Apparatus in the Diagnosis of Breast Phylloid Tumors. HeBei Med, 2019, 25(7): 1170-1173.
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2019, Vol. 25 
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