超聲對(duì)乳腺惡性腫瘤的診斷詳解演示文稿當(dāng)前第1頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)（優(yōu)選）超聲對(duì)乳腺惡性腫瘤的診斷當(dāng)前第2頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)UltrasonicDiagnosisofBreastMalignantTumors

乳腺惡性腫瘤的超聲診斷

昆明醫(yī)學(xué)院附屬昆華醫(yī)院

超聲科尹欣

當(dāng)前第3頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)Breastcanceristhefirstleadingcauseofdeathforwomenallovertheworld.IntheUnitedStatesmorethan8%womenwillsufferthisdiseaseduringtheirlifetime.當(dāng)前第4頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)

Sonographically,thebreastisdividedintothreelayersbetweentheskinandthechestwall.

在聲像圖中，從皮膚至胸壁可將乳腺組織可分為3層。Theselayersinclude:Subcutaneouslayer皮下組織層Mammarylayer腺體層Retromammarylayer乳腺后層AnatomyoftheBreast乳腺的解剖當(dāng)前第5頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)SubcutaneouslayerMammarylayerRetromammarylayer

Subcutaneouslayer

Retromammarylayer

composedof

FatandConnectivetissue當(dāng)前第6頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)ParenchymalPatterns

Theappearanceoftheglandularelementsofthebreastvaryremarkablyfromwomantowomanandvarywithinthesamewomandependingonherstageinlife.

女性乳腺的圖像在個(gè)體間有很大的差異性，即使是同一人在不同階段乳腺的圖像也不同

當(dāng)前第7頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)

YoungFemale

Fibrouselementspredominateandreflectsadenseechogenicoftissue青春期女性乳腺纖維組織較多因而腺體回聲細(xì)密當(dāng)前第8頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)PregnantFemale

Thebreastproliferateremarkablyinbothdensityandvolume

妊娠期女性乳腺顯著增生當(dāng)前第9頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)ElderFemaleThebreasttissuebecomesprogressivelyreplacedwithfat老年期乳腺逐漸脂肪化當(dāng)前第10頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)HowtoScanThebreastisdividedintofourquadrant

:UpperOuterQuadrant(UOQ),UpperInnerQuadrant(UIQ),LowerOuterQuadrant(LOQ),LowerInnerQuadrant(LIQ),Checkthesefourquadrantinaclockwisedirection

andthenscannipple(乳頭)andoxter（腋下）當(dāng)前第11頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)SonographicCharacteristics

of

BreastMalignantTumors

乳腺惡性腫塊的超聲表現(xiàn)當(dāng)前第12頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)CancerCrab螃蟹癌癥巨蟹座當(dāng)前第13頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)CancerIrregular,spiculated,orangulatedborder不規(guī)則,毛刺狀,或成角的邊界Crab螃蟹Cancroid蟹足狀的當(dāng)前第14頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)CancerBreastcancerwithIrregularborder

邊界不規(guī)則的乳腺癌

當(dāng)前第15頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)BreastCancerMicrocalcifications微鈣化點(diǎn)Small,hyperechoicspotswithoutacousticshadowing細(xì)小，高回聲的光點(diǎn)，不伴后方聲影當(dāng)前第16頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)BenignCalcificationEggshellCalcification

蛋殼樣鈣化當(dāng)前第17頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)CompanyLogoCharacteristicsofMalignantCalcifications

1.Concentratedinonearea,usuallyinthetumor.2.Microcalcifications,<1mm.3.Over5microcalcificationsin1cm2

1.集中于一處，多位于腫塊內(nèi)。

2.細(xì)小鈣化，<1mm。3.每平方厘米微小鈣化數(shù)≥5個(gè)【參考文獻(xiàn)】林薇,廖玲.微小鈣化在乳腺癌X線診斷中的意義.實(shí)用醫(yī)技雜志2006.1

當(dāng)前第18頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)CancerTallerthanwide縱/橫比>1乳腺超聲診斷當(dāng)前第19頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)Parallel–widerthantall–longaxisparalleltoskinNOTparallel–tallerthanwide–longaxisperpendiculartoskin

當(dāng)前第20頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)TallerthanwideThegrowthofmalignanttumorsareofteninfiltratesurroundingstructuresandresultingtheaspectratiois>1

惡性腫瘤的生長(zhǎng)常常浸潤(rùn)正常結(jié)構(gòu)而導(dǎo)致前后徑增大，故縱橫比常＞1。當(dāng)前第21頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)CancerAbundantinbloodflowsignals血流信號(hào)豐富當(dāng)前第22頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)Benigntumorwithrichbloodflowsignals管中窺豹只一斑，葉落難斷已秋天。是峰是嶺橫側(cè)看，超脫物外也非仙！當(dāng)前第23頁(yè)\共有24頁(yè)\編于星期三\15點(diǎn)CharacteristicsofBenignTumors

Ovalorround