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多模态功能磁共振对乳腺黏液腺癌和叶状肿瘤(≥3cm)的鉴别诊断价值 预览 被引量:1

Multimodel functional MRI in the differential diagnosis of breast mucinous carcinoma and phyllodes tumor(≥3cm)
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摘要 目的探讨MRI对乳腺黏液腺癌和叶状肿瘤(≥3cm)的鉴别诊断价值。方法回顾性分析2012年1月至2017年12月经手术病理证实的乳腺黏液腺癌和叶状肿瘤患者共390例,筛选出术前行MRI检查且乳腺肿物≥3cm的患者共55例(黏液腺癌20例,叶状肿瘤35例),分析其MRI征象并与病理相对照。结果本组病例中,≥3cm乳腺肿物的黏液腺癌共20例,包括单纯型黏液腺癌14例,混合型6例。≥3cm的乳腺叶状肿瘤共35例,其中良性9例,交界性18例,恶性8例。乳腺黏液腺癌和叶状肿瘤的患者在年龄、长径、形态、分叶、边界、ADC值、EER、T2WI信号及TIC曲线等方面的差异有统计学意义(P〈0.05)。ADC值ROC曲线下面积为0.7036,EER的ROC曲线下面积AUC为0.8029。结论多模态功能MRI术前能有效鉴别乳腺黏液腺癌和叶状肿瘤(≥3cm),EER诊断效能略优于ADC值。 Objective To investigate the application value of functional MRI in the differential diagnosisbetween breast mucinous carcinoma and phyllodes tumor(≥ 3 cm). Methods 55 cases of breast mucinous adeno-carcinoma and phyllodes tumors(≥3cm)from January 2012 to December 2017 were retrospectively analyzed.MRI features of 20 mucinous carcinomas and 35 phyllodes tumors were analyzed,compared with pathology. Results There were 20 cases of breast mucinous carcinoma in current study,including 14 cases of pure mucinouscarcinoma and 6 cases of mixed mucinous carcinoma. There were 35 cases of phyllodes tumors,including 9 be-nign,18 borderline and 8 malignant cases. There was no significant difference in T1WI signal and enhancementmode between breast mucinous carcinoma and phyllodes tumors. There were significant differences in age,long di-ameter,morphology,lobulation,border,ADC value,EER,T2WI signal and TIC curve pattern(P〈0.05). Thearea under ROC(AUC)of ADC value and EER for breast mucinous adenocarcinoma and phyllodes tumor was0.7036 and 0.8029,respectively. Conclusions Multi-model functional MRI can effectively distinguish breastmucinous adenocarcinoma from phyllodes tumor(≥3cm),and EER is more accurate than ADC value.
作者 郭媛 孔庆聪 李丽琪 胡慧 唐文洁 丁汉军 汪珍穗 江新青 刘春玲 GUO Yuan,KONG Qingcong,LI Liqi,HU Hui,TANG Wenjie,DING Hanjun,WANG Zhensui,JIANG Xinqing,LIU Chunling(Guangzhou First People's Hospital the Second Affiliated Hospital of South China University of Technology, Guangzhou 510180, China)
出处 《实用医学杂志》 北大核心 2018年第10期1598-1601,1604共5页 The Journal of Practical Medicine
基金 广东省科技计划项目(编号:2014A020212232) 广东省医学科学技术研究基金项目(编号:A2017254)
关键词 乳腺癌 黏液腺癌 叶状肿瘤 磁共振 breast cancer breast mucinous carcinoma phyllodes tumor MRI
作者简介 通信作者:刘春玲E-mail:liuchunling79@163.com.
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