Ultrasound manifestations of breast hyperplasia

When there is a problem with the breast, it is mostly related to inflammation. When you go to the hospital for a check-up, ultrasound will usually be used to check the severity of the disease. Ultrasound manifestations of breast hyperplasia_What is the color ultrasound description of breast hyperplasia? Most breast diseases can be detected in this way. For example, if breast hyperplasia or cysts occur, there will be more detailed pictures during the examination, and women should also pay attention to the malignant transformation of the disease.

The diversity of pathological manifestations of breast hyperplasia determines the diversity of its ultrasound images.

Ultrasound images classify breast hyperplasia into the following 3 types:

1) Cyst type:

The pathological basis of the sonogram is: the mammary ducts proliferate and expand to form cysts; the cyst contents are light yellow transparent liquid or pink secretions; the lesions are often multiple, and cysts of different sizes are seen in the breast.

2) Solid mass: When the number of mammary alveoli and small ducts increases, lobular hyperplasia and lesions are formed. It further develops into breast disease and fibroadenomatous hyperplasia, which manifests as tumors with irregular shape, no capsule or incomplete capsule.

This type of image should be carefully differentiated from breast cancer, breast fibroadenoma and other breast solid lesions. When combined with breast cancer, the sonogram shows an irregular solid tumor with rich blood supply.

3) Hybrid images:

When multiple simple hyperplasias and lesions of the breast coexist, the resulting tumor presents a mixed image.

This pattern may also be mixed with breast cancer.

Regarding the differentiation between fibrocystic breast disease and breast cancer, some researchers have explored the clinical value of ultrasound contrast imaging and ultrasound elastography in the differential diagnosis of benign and malignant breast tumors. A total of 96 breast masses from 82 patients were examined and their image features were analyzed. The sensitivity, specificity and accuracy of puncture biopsy or surgical pathology were analyzed separately and in combination.

result:

The arrival time and peak time of contrast agent in benign masses were later than those in malignant masses, the peak intensity was often lower than that in malignant masses, and the disappearance time was longer than that in malignant masses. The differences were statistically significant (P<0.05).

In elastic imaging examinations, the ultrasound elastic image scores of malignant masses are mostly 3-4 points and the elastic strain rate ratio (SR) is ≥3.03, while the scores of benign masses are mainly 1-2 points and SR<3.03.

The sensitivity, specificity and accuracy of ultrasound contrast imaging and elastography in diagnosing breast masses were 71.8%, 89.5%, 82.3% and 82.1%, 86.0%, 84.4%, respectively.

The diagnostic efficiency of ultrasound contrast imaging combined with elastic imaging was the highest, which was 94.9%, 96.5% and 95.8% respectively, and the differences were statistically significant (P<0.05).