Multimodal ultrasonic diagnosis of breast fibromatosis originating from breast parenchyma
10.3760/cma.j.cn431274-20210129-00145
- VernacularTitle:源于乳腺实质的侵袭性纤维瘤病多模态超声诊断
- Author:
Lei ZHANG
1
;
Jie MENG
;
Kun LIU
;
Quanyi WANG
;
Zhaoqiang LI
;
Xiaohua LI
Author Information
1. 济宁医学院附属医院超声科 272000
- Keywords:
Breast diseases;
Fibromatosis, aggressive;
Ultrasonography;
Elasticity imaging techniques
- From:
Journal of Chinese Physician
2021;23(8):1205-1209
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the imaging characteristics of invasive fibromatosis from breast parenchyma, and to explore the clinical value of multimodal ultrasound.Methods:The two-dimensional, color Doppler and elastic imaging sonographic manifestations and pathological features of 12 cases of breast invasive fibromatosis included in the Affiliated Hospital of Jining Medical College from October 2015 to October 2020 were studied retrospectively.Results:Two dimensional ultrasound showed that 12 cases of breast invasive fibromatosis grew in parallel, with different sizes, unclear boundary and no complete capsule. The edge morphology of 7 cases (7/12) showed crab foot like changes; The tumor showed solid heterogeneous hypoechoic, punctate hyperechoic in 3 cases (3/12), and echo attenuation behind the tumor in 3 cases (3/12); The blood flow in the tumor was mainly grade 1-2 (9/12). Twelve tumors were examined quantitatively by virtual touch tissue quantifification. The shear wave velocity was (3.08±0.75)m/s. The diagnostic accuracy of multimodal ultrasound in invasive fibromatosis of breast (10/12) was significantly higher than that of conventional ultrasound (3/12, χ 2=8.224, P=0.004). The gross manifestation of the tumor: the section was gray or gray yellow, with unclear boundary and no capsule; Microscopic findings: fascicular fibroblasts and myofibroblasts proliferated, accompanied by varying degrees of glassy degeneration, acellular atypia, nuclear division and necrosis. Conclusions:Conventional ultrasound is difficult to distinguish invasive fibromatosis and malignant tumor of breast, and its ultrasonic manifestations are closely related to pathological features. The combined application of multimodal ultrasound can significantly improve the diagnostic coincidence rate of the disease and has high clinical application value.
