标题：乳腺肿块病理类型与超声BI-RADS 3、4、5级的对照分析

      作者：沈文佳，陈卉，张晓青
    (常州市第一人民医院超声科，江苏 常州 213003)

      卷次： 2016年27卷10期

      【摘要】 目的 研究超声乳腺影像报告和数据系统(BI-RADS) 3、4、5级在不同病理类型乳腺肿块诊断中的应
用价值。方法 选取我院 2012年 1月至 2015年 10月乳腺超声诊断为BI-RADS 3、4、5级的患者 237例，病灶 265
个，与病理类型进行对照分析。结果 超声BI-RADS 3、4、5级对乳腺恶性肿块诊断的灵敏度、特异度、阳性预测
值、阴性预测值分别为 95.1% (77/81)、78.8% (145/184)、66.4% (77/116)、97.3% (145/149)。乳腺肿块超声BI-RADS
3、4、5级中恶性肿瘤的百分率分别为2.7% (4/149)、48.0% (36/75)、100.0% (41/41)。良性肿块中乳腺炎性病变、腺病
瘤化、腺病伴囊肿、导管内乳头状瘤、腺病伴大汗腺化生的灵敏度较低[0 (0/7)~50.0% (2/4)]。恶性肿块中叶状肿瘤
灵敏度较低[75.0%(3/4)]。将乳腺良性肿块分为不合并腺病组(141例)与合并腺病组(43例)，进行超声BI-RADS分
级，两组的分级结果比较差异无统计学意义(P>0.05)。结论 超声BI-RADS分级可对乳腺肿块进行较准确的评
估，不同病理类型的乳腺肿块BI-RADS分级的灵敏度不同。

      【关键词】 乳腺影像报告与数据系统；乳腺肿块；病理类型；乳腺超声；灵敏度

      【中图分类号】 R445.1 【文献标识码】 A 【文章编号】 1003—6350（2016）10—1561—03


Comparative analysis of pathological types of breast mass and ultrasonic BI-RADS 3,4,5.
SHEN Wen-jia, CHEN
Hui, ZHANG Xiao-qing. Department of Ultrasound, the Third Affiliated Hospital of Soochow University, First People's
Hospital of Changzhou, Changzhou 213003, Jiangsu, CHINA

【Abstract】 Objective To evaluate the application value of ultrasound breast imaging reporting and data system
(BI-RADS) 3,4,5 in the diagnosis of different pathological types of breast masses. Methods The clinical data of 237 pa-
tients (265 breast lesions) who were diagnosed as BI-RADS 3, 4, 5 by ultrasonography in our hospital from January
2012 to October 2015 were reviewed and compared with the pathological results. Results The sensitivity, specificity,
positive predictive value and negative predictive value of BI-RADS 3, 4, 5 on breast malignant tumor were 95.1% (77/
81), 78.8% (145/184), 66.4% (77/116), 97.3% (145/149), respectively. The percentage of malignant tumor in BI-RADS
3, 4, 5 was 2.7% (4/149), 48.0% (36/75) and 100.0% (41/41), respectively. The sensitivity of benign lesions such as mas-
titis lesions, adenosis tumor, adenosis with cyst, intraductal papilloma, adenosis with apocrine metaplasia was relatively
low [0 (0/7)~50.0% (2/4)]. The sensitivity of phyllodes tumor was 75.0% (3/4). The ultrasonic BI-RADS grading results
showed no statistically significant difference between the patients of benign breast masses without adenosis (141 cases)
and the patients with adenosis (43 cases), P>0.05. Conclusion Ultrasonic BI-RADS can evaluate breast mass accurate-
ly, and different pathological types of breast masses have different sensitivity by BI-RADS.

      【Key words】 BI-RADS; Breast tumors; Pathological types; Breast ultrasound; Sensitivity
·论 著·
6350.2016.10.004