Contrast-enhanced Ultrasound in Distinguishing Benign from Malignant Complex Cystic and Solid Breast Mass and Making the Decision to Biopsy

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Contrast-enhanced Ultrasound in Distinguishing Benign from Malignant Complex Cystic and Solid Breast Mass and Making the Decision to Biopsy

更新时间：2023-10-11

- Contrast-enhanced Ultrasound in Distinguishing Benign from Malignant Complex Cystic and Solid Breast Mass and Making the Decision to Biopsy
- Journal of Clinical Ultrasound in Medicine Vol. 24, Issue 9, (2022)
- 作者机构：
  
  1. 北京丰台医院超声科
  2. 首都医科大学附属北京天坛医院
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2022，
  
  Published Online：30 September 2022，
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Contrast-enhanced Ultrasound in Distinguishing Benign from Malignant Complex Cystic and Solid Breast Mass and Making the Decision to Biopsy. [J]. Journal of Clinical Ultrasound in Medicine 24(9).(2022)
DOI：

Contrast-enhanced Ultrasound in Distinguishing Benign from Malignant Complex Cystic and Solid Breast Mass and Making the Decision to Biopsy. [J]. Journal of Clinical Ultrasound in Medicine 24(9).(2022) DOI：

摘要

目的探讨超声造影在鉴别乳腺囊实性复合肿块良恶性并是否行超声引导下活检指导中的应用。方法回顾性研究2020年1月至2021年1月经超声诊断为乳腺囊实性复合肿块患者74例，结合病理及随访结果分析常规超声及超声造影声像图特征并对乳腺囊实性肿块恶性诊断效能进行评价；分别统计常规超声及超声造影后决定行组织穿刺活检的例数。结果病理证实的60例患者中良性45例，恶性15例。超声造影乳腺囊实性复合肿块实性部分有无强化、强化范围是否增大及实性部分基底部突破特征对于区分肿块良、恶性差异有统计学意义(p<0.05)。超声造影可提高乳腺囊实性复合肿块恶性病变诊断的敏感性。超声造影后对乳腺囊实性肿块活检的决定被改变25.7%；而对于怀疑恶性乳腺囊实性复合肿块超声造影不会改变穿刺的决策。结论超声造影在乳腺囊实性复合肿块的良恶性鉴别中有一定作用，为指导超声引导下乳腺穿刺活检决策提供新方法。

Abstract

Objective To use contrast-enhanced ultrasonography(CEUS) to identify the characteristics benign and malignant of complex cystic and solid breast mass

and decides whether to perform ultrasound-guided biopsy. Methods From January 2020 to January 2021

retrospective study was performed in 74 patients who were pathologically confirmed or followed up for at least one year. Combined with the results of pathology and follow-up

the characteristics of conventional ultrasound and CEUS and the diagnostic performance of malignant breast cystic and solid masses were analyzed. Ultrasound-guided biopsy cases were counted in conventional ultrasound and CEUS separately. Result among the 60 cases confirmed by pathology

45 were benign nodules

and 15 cases were malignant nodules. There is a statistically significant difference to differentiate the benign and malignant breast complex cystic and solid nodular with CEUS focused on enhancement

enhancement range and solid components beyond the basilar part (p<0.05). CEUS could improve the sensitivity of diagnosis in malignant breast cystic and solid complex mass. 25.7% cases had been changed the decision for ultrasound-guided breast nodule biopsy with CEUS

however CEUS would not change the decision for biopsy in suspected malignant breast complex cystic and solid nodular. Conclusion CEUS plays an important role in differentiating benign and malignant breast complex cystic and solid masses

and provide a new method to make decision for biopsy.

关键词

超声造影乳腺囊实性复合肿块活检

Keywords

Contrast-enhanced ultrasoundBreast Complex MassBiopsy

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