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目的探讨彩色多普勒超声诊断乳腺Paget病的临床价值。方法回顾性分析14例湿疹样乳腺癌患者的临床及影像资料。比较超声与钼靶对该病诊断价值,比较多种影像对腋窝淋巴结转移癌的检出价值。结果超声和钼靶对乳腺Paget病肿块检出率分别为64.3%和21.4%(P<0.05),超声检出肿块患者比未检出肿块者合并浸润性乳腺癌可能性更大,结果具有统计学差异(P<0.05)。超声与核医学前哨淋巴结显像对腋窝淋巴结转移检出的特异度及准确度无统计学差异(P>0.05)。结论彩色多普勒超声对乳腺Paget病合并肿块者诊断意义较大,且对腋窝淋巴结转移的诊断准确度较高。
Objective To investigate the clinical value of color Doppler ultrasound in the diagnosis of Paget’s disease in breast. Methods Retrospective analysis of 14 cases of eczema-like breast cancer patients and imaging data. To compare the diagnostic value of ultrasound and mammography in the diagnosis of the disease, and to compare the detection value of multiple images on axillary lymph node metastases. Results The positive rates of ultrasound and mammography in the detection of Paget’s disease were 64.3% and 21.4% respectively (P <0.05). There was a higher possibility of ultrasound-detected tumors than those with no tumors and invasive breast cancer. The results were statistically significant Learning difference (P <0.05). The specificity and accuracy of ultrasound and nuclear medicine sentinel lymph node imaging in detection of axillary lymph node metastasis had no statistical difference (P> 0.05). Conclusion Color Doppler ultrasound diagnosis of Paget’s disease complicated with lumps is significant, and the diagnostic accuracy of axillary lymph node metastasis is high.