Two-Dimensional Ultrasound,Color Doppler Ultrasound and Ultrasonic Elastography Features of Breast Phyl-loides Tumors
- VernacularTitle:乳腺叶状肿瘤的二维、彩色及弹性超声表现
- Author:
Yunhua ZHANG
1
;
Limin LIU
;
Hansheng XIA
;
Qing YU
;
Haixia YUAN
Author Information
1. 复旦大学附属中山医院超声诊断科
- Keywords:
Breast;
Phylloides tumors;
Ultrasonograph;
Ultrasonic elastography
- From:
Chinese Journal of Clinical Medicine
2014;(3):307-310
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the two-dimensional ultrasound ,color Doppler ultrasound and ultrasonic elastography fea-tures of breast phylloides tumors .Methods :Sixteen cases of breast phylloides tumors proved by pathology were retrospectively analyzed .Results:In all cases ,there was a single tumor .Postoperative pathological results proved benign ,borderline and ma-lignant breast phylloides tumor in 8 ,4 and 4 cases ,respectively ;and the mean diameters of them were 30 mm ,41 mm and 38 mm ,respectively .Twelve lesions were lobulated and 4 oval in 16 tumers .The tumor margins were circumscribed in all cases , and 2 malignant lesions had incomplete capsules .Intramural clefts and high echo separations were found in 12 lesions .All le-sions had posterior enhancement .Grade II-III blood flow were seen in 7 benign lesions ,3 borderline lesions and 4 malignant le-sions .In ultrasontic elastography fifteen lesions had horizontal red/yellow stripes ,8 lesions had more than ten red/yellow stripes ,2 borderline lesions and 2 malignant lesions had a mosaic pattern of red and green in the centre and blue “ring sign”in the periphery .There were 7 ,3 ,2 lesions scored as 1 ,and 1 ,1 ,2 lesions scored as 3 on ultrasonic elastography for benign , borderline and malignant phylloides tumors ,respectively .Conclusions:The breast phylloides tumors mostly present as lobulated , well circumscribed ,intramural cleft ,high echo separations ,posterior enhancement and abundant blood flow on ultrasound . Many horizontal red/yellow stripes are typical appearance of breast phylloides tumors on elastography .Incomplete capsule , scored as 3 on elastography or blue“ring sign” in the periphery suggest borderline and malignancy phylloides tumors .
