Clinical and ultrasonic characteristics of invasive ductal carcinoma of breast in young women
10.3969/j.issn.1009-9905.2025.03.007
- VernacularTitle:青年女性乳腺浸润性导管癌临床和超声特征分析
- Author:
Jing-bo XING
1
;
Xia ZHENG
;
Kun-kun PANG
;
Fei-xue ZHANG
;
Xiu-liang WEI
Author Information
1. 山东大学第二医院 医学影像中心超声科 (山东 济南 250033)
- Publication Type:Journal Article
- Keywords:
Breast invasive ductal carcinoma;
Young women;
Ultrasound;
Clinical features;
Diagnosis
- From:
Chinese Journal of Current Advances in General Surgery
2025;28(3):203-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical and ultrasonic features of breast invasive ductal carcinoma in young women patients,and improve the accuracy of ultrasonic diagnosis of breast invasive ductal carcinoma in young patients.Methods:A retrospective study was conducted on patients with invasive ductal carcinoma who underwent surgery in the Second Hospital of Shandong University from December 2015 to June 2023,with complete clinical data,preopera-tive ultrasonography and postoperative pathology.All patients were divided into two groups:young group(≤35 year-old)and control group(>35 year-old).Univariate t-test and multivariate Logistic regression analyses were used to assess the factors.Results:There was a statistical difference between the young group and the control group in the accuracy of ultrasound diagnosis(young group 81%vs control group 94%,χ2=13.082,P=0.001).Compared with the control group,the young group had a shorter disease history,a higher proportion of multiple masses,posterior echo changes and hypo-vascular lesions(P<0.05).However,there was no statistical difference in family history of breast cancer,other cancer family history,clinical symptoms,size,lesion classification,palpation,location,aspect ratio,focus echo,shape,edge per-formance,bright ring sign,calcification characteristics,ER,PR,HER-2 and Ki67(P>0.05).Conclusion:The incidence rate of young breast IDC is low,while the misdiagnosis rate of ultrasound is relatively high.More attention should be paid when the patient has a short history,multiple masses,changes in the posterior echo and less lesion blood supply.
