乳腺导管内癌-课件.ppt

1、3 34 45 56 67 78 89 9101111121213DCIS-MI1314*乳腺肿瘤学，沈镇宙主编，上海科学技术出版社 2005年版1415 粉刺型151617 微乳头型、乳头型、实体型、筛状和粉刺型1718*D Lawrence Wickerha.Ductal carcinoma-in-situ.Journal of Clinical Oncology,19(18):2001,98100181919202021砂粒样、线状、杆状或断针样Mammographic appearance of nonpalpable breast cancer reflects pathologic

2、 characteristics.Ann Surg,2002,235(2):2462251 21222223232424252526262727282829Moon WK,Myung JS,Lee YJ,et al.US of ductal carcinoma in situJ.RadioGraphics,2002,22(2):269-280 29303031313232333334343535363637373838394040414142Moon WK,Myung JS,Lee YJ,et al.US of ductal carcinoma in situJ.RadioGraphics,2

3、002,22(2):269-280 42主要鉴别诊断主要鉴别诊断n 无钙化-增生结节：无乳管扩张，血流不丰富，结合年龄、病史n 有钙化-浸润性乳腺癌：更低回声、后方衰减、纵横比、毛刺、高回声晕（详细原因）、局部皮肤改变；无乳管扩张4344Moon WK,Myung JS,Lee YJ,et al.US of ductal carcinoma in situJ.RadioGraphics,2002,22(2):269-280 44454546NippleNipple46Case 24748495051515252n朱庆莉，姜玉新，常规超声结合超声弹性成像对乳腺导管内癌诊断的初步探讨，2005年第

4、21卷第11 期 5354沙滩鹅卵石征沙滩鹅卵石征5556565757主要参考文献主要参考文献n乳腺肿瘤学，沈镇宙主编，上海科学技术出版社 2005年版nD Lawrence Wickerha.Ductal carcinoma-in-situ.Journal of Clinical Oncology,19(18):2001,98100nMammographic appearance of nonpalpable breast cancer reflects pathologic characteristics.Ann Surg,2002,235(2):2462251nMoon WK,Myung

5、 JS,Lee YJ,et al.US of ductal carcinoma in situJ.RadioGraphics,2002,22(2):269-280nCho KR;Seo BK;Kim CH,Non-calcified ductal carcinoma in situ Ultrasound and mammographic findings correlated with histological findings，YONSEI MEDICAL JOURNAL,2008.49:103-110nTavassoli FA,Devilee P.WHO classification of tumors Pathology&genetics,tumors of the breast and female genital organs1 Lyon:IARC Press,10/2003 58