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首页> 美国卫生研究院文献>Molecular and Clinical Oncology >Sclerosing adenosis: Ultrasonographic and mammographic findings and correlation with histopathology
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Sclerosing adenosis: Ultrasonographic and mammographic findings and correlation with histopathology

机译：硬化性腺病：超声和乳腺X线摄影发现及其与组织病理学的关系

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The present study was conducted to evaluate the radiological findings, particularly the ultrasonographic (US) characteristics of sclerosing adenosis (SA), and their correlation with histopathological results. A retrospective review identified 191 patients with a total of 200 lesions histopathologically confirmed as SA following breast surgery between July 2009 and December 2012. Of the 191 patients, 145 (151 lesions) with SA as the major component were included for US and mammographic (MG) analysis. All 145 patients analyzed were female, with a mean age ± standard deviation of 46.8±7.8 years (range, 25–71 years). All 145 patients underwent US examination and the imaging findings included heterogeneously echogenic areas in 9.3% (14/151), masses in 51.7% (78/151), masses with calcifications in 13.9% (21/151), focal acoustic shadowing in 4.0% (6/151) and were negative in 21.2% (32/151) patients. Among the 119 lesions with visible abnormalities, 87.4% (104/119) were hypoechoic, 58.0% (69/119) were irregular in shape, 52.1% (62/119) had an ill-defined margin, calcifications were found in 17.6% (21/119) and 7.6% (9/119) were hypervascular, while none of the characteristics mentioned above were significantly correlated with histopathology. A total of 136 patients underwent MG at the Fudan University Shanghai Cancer Center, and the imaging findings included microcalcifications in 31.6% (43/136), masses in 23.5% (32/136), asymmetric focal density in 14.7% (20/136), focal architectural distortion in 22.8% (31/136), and were negative in 7.4% (10/136). The mass lesions were fewer on MG compared with US (23.5 vs. 65.6%, respectively). The area under the curve of US distinguishing between benign and malignant lesions was significantly larger compared with that of MG (0.547 vs. 0.497, respectively; P=0.036). In the 60 lesions that were overestimated by Breast Imaging Reporting and Data System US category, one or more characteristics of malignancy were found on US imaging. The most common finding of SA was masses with or without calcifications on US and microcalcifications on MG. The accuracy of US was limited, but higher compared with that of MG; however, SA mimicking the characteristics of malignancy may contribute to misdiagnosis with US.
机译：本研究旨在评估影像学检查结果，特别是硬化性腺病（SA）的超声特征（US）及其与组织病理学结果的相关性。回顾性研究确定了191例患者，这些患者在2009年7月至2012年12月之间进行了乳腺癌手术后经组织病理学确认为SA。在这191例患者中，有145例（151例病变）以SA为主要成分的患者包括了美国和乳腺X线摄影（MG） ）分析。分析的所有145例患者均为女性，平均年龄±标准偏差为46.8±7.8年（范围25-71岁）。所有145例患者均接受了US检查，影像学检查结果包括异种回声区域（9.3％（14/151）），肿块51.7％（78/151），钙化肿块13.9％（21/151），局灶性声影阴影4.0 ％（6/151），在21.2％（32/151）患者中为阴性。在119个可见异常的病灶中，回声低的占87.4％（104/119），形状不规则的占58.0％（69/119），边界不清的占52.1％（62/119），钙化的占17.6％ （21/119）和7.6％（9/119）为高血管，而上述特征均与组织病理学无显着相关性。复旦大学附属上海癌症中心共有136例患者接受了MG，影像学检查结果包括微钙化占31.6％（43/136），肿块占23.5％（32/136），不对称病灶密度占14.7％（20/136）。 ），建筑的焦点变形率为22.8％（31/136），而负值为7.4％（10/136）。与US相比，MG上的肿块病变更少（分别为23.5和65.6％）。与MG相比，US区分良性和恶性病变的曲线下面积明显更大（分别为0.547和0.497； P = 0.036）。在被美国乳腺影像报告和数据系统类别高估的60个病变中，在美国影像学上发现了一个或多个恶性特征。 SA最常见的发现是在US上有钙化或在MG上没有钙化的肿块。美国的准确性有限，但比MG更高；然而，模仿恶性肿瘤特征的SA可能会导致US的误诊。

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