【Summary 】 purpose:Contrast analysis breast cancer sufferer’s armpit is good the ill nature pour flattering super voice image to learn a characteristic and inquiry into a super voice to transfer to mediumly discriminate diagnosis value in the mammary glands cancer sufferer’s armpit lymphoid knot.Method:To through pathologic confirmation of 69 mammary glands cancer the sufferer’s 41 transfer sex lymphoid knot positive with 21s pour a flattering much more two-dimensional and colorful voice of Pu Lei to be like a diagram characteristic analytical comparison.Result:41 transfer sex lymphoid knot diameter and 21 didn’t transfer sex lymphoid knot diameter comparison the difference didn’t show Zhao;(Ｐ >0.05)The outline grade, L/T, the marrow/skin quality comparison difference has already shown Zhao.(Ｐ <0.05)Conclusion:Mammary glands cancer the sufferer be good malignant lymphoid knot different super voice image to learn a characteristic, can for study the mammary glands cancer armpit lymphoid knot to transfer of diagnosis and discriminate diagnosis to provide a worthy help.
【Keyword 】 super voice;Breast cancer;The armpit pours to fawn on
The mammary glands cancer is one of the female and familiar malignant tumors, easy the armpit lymphoid knot happen to transfer, accurate evaluation the armpit lymphoid knot transfer a circumstance and separately expect to the exactitude, the evaluation prepare behind, establishment reasonable of the treatment project be very important.The this text review analyzed 69 mammary glands cancer the lymphoid knot voice of sufferer’s armpit confirm by surgical operation to be like a diagram characteristics, and lymphoid knot feminine gender set and male set voice be like diagram to carry on contrast, the purpose is to evaluate a super voice in discriminate the mammary glands cancer the sufferer the good malignant rmpit the lymph the knot of application value.
One data and method
All of 1.1 research objects is females.Mammary glands cancer set 69 be confirm by the surgical operation and the pathology, the age 28-year-old ～ is 77 years old, and the average ge is 48 years old.
1.2 instruments and the method applied Seqiou512, HDI 3500 much more colorful Pu Lei super voice diagnosis instrument, stretch forward the ～ 15 MHzs of the frequency 7 MHz, the mammary glands check under the condition, normal regulations check double the side mammary glands and double armpit, the record pathological changes circumstance inside the mammary glands and the armpit lymphoid knot appearance, size, number, position and blood provide a circumstance;Measure long path/horizontal path(L/T) specific value, the marrow/skin quality thickness specific value;Outline grade cent be x-rated(0 classes:Appearance rule, the edge is smooth;One class:The appearance basic rule, the outline slightly has already rise and fall;2 classes:The appearance is irregular, the outline cave and convex gravamen).
1.3 covariances learn processing χ 2 examination.
2 results
2.1 distribute a circumstance origin a set 69 mammary glands cancer sufferers to win, the super voice checks together a side lymph to knot 62, the lymphoid knot checks a rate 89.89%, the pathology confirmation has 41 to transfer sex lymphoid knot after the Shu, 21 is normal or respond to increase born nature lymphoid knot swollen big.Super voice 47 which check transfer sex lymphoid in the knot there are 39 in order to transfer sex, check 15 is positive lymphoid there are 2 in the knot for transfer sex. In 69 mammary glands cancer sufferers, the ～ 5.6 cms of the tumor diameter 0.9 cm, among them tumor<34 with 2 cms, check together a side is lymphoid to knot 30, transfer sex lymphoid knot 17;The tumor 2 cms~26 with 3 cms, check together a side is lymphoid to knot 23, transfer sex lymphoid knot 16;Tumor>9 with 3 cms, check together a side is lymphoid to knot 9, transfer sex lymphoid knot 8.
2.2 set 41 transfer sex lymphoid knot diameter and 21 didn’t transfer sex lymphoid knot diameter comparison the difference didn’t show Zhao;The outline grade, L/T, the marrow/skin quality comparison difference has already shown Zhao and see table 1.
Diagram 1 respond increase born nature lymphoid knot(slightly)
Diagram 2 mammary glands cancers transfer sex lymphoid knot(slightly)
Form 1 good malignant and lymphoid knot a two-dimensional super voice a comparison(slightly)
2.3 transfer the set lymphoid knot door and peripheral circumstance it is thus clear that order a form, form blood the signal be 28, only lymphoid knot door point form blood signal 13;DO not transfer a set lymphoid knot door and periphery all have a form blood signal 6 and the only lymphoid knot door has the blood signal 11.
3 discussions
The earlier period of mammary glands cancer can immediately be transfer by lymphoid path, it the lymphoid liquid mainly flows into armpit lymphoid knot, have 75% around or so, transfer the first station for the mammary glands cancer.Transfer a characteristics according to the mammary glands cancer lymphoid knot, make sure before the Shu that the armpit lymphoid knot hasn’t transfer, to the choice, Shu of the surgical operation method behind lend support to treatment and prepare behind estimate to have important clinical meaning.The lymphoid knot checks a rate 89.86% in this set 69 mammary glands cancer sufferers, transfer sex lymphoid knot to have 59.57% among them and transfer a sex lymphoid knot voice to be like a diagram manifestation:Wrap a film not only slippery, appearance anomaly, often much deliver, the part can blend, skin marrow the boundary be not pure, skin quality not the symmetry increase thick, marrow the decrease even disappears, lymphoid knot door disappear, L/T<2, marrow/skin quality<0.5, the CDFI shows a mess blood signal in the lymph the knot the door department and skin marrow;This set checks of 62 lymphoid have 21 in the knot is normal or respond to increase born nature lymphoid knot, the normally lymphoid knot voice is like chart now for wrap a film smooth integrity, appearance rule, present oval, the size is about the 2 mms~5 mms, the marrow area presents high echo and have around lymphoid knot area of 50% ～s be 80%s, the skin quality area present even loiter a voice, L/T>2, CDFI shows some form or short and good form blood signal, but responds that increasing born nature lymphoid knot a performance enlarges for the physical volume just at the door department, the marrow increases breadth, the skin quality narrow down, L/T>2, CDFI in lymphoid knot the manifestation in door and marrow form blood signal.This data also shows to enlarge along with the lump, transfer sex to pour to flatteringly check a rate and lymphoid knot transfer of the number also increases, tumor<the 2 cms transfer sex lymphoid knot to check a rate 50%, the tumor 2 cms~the 3 cms transfer sex lymphoid knot to check a rate 57.7%, tumor>the 3 cms transfer sex lymphoid knot to check a rate as 88.9%.Be showed from this, along with the aggrandizement of mammary glands cancer lump, the lymphoid knot transfer of the opportunity also increases ［ one ］ .Although high resolution super voice easily checks lymphoid knot, far can’t attain pathology diagnosis of purpose, the 47 which checks transfer to have 8 in the sex lymphoid knot for false masculine gender, but check to have 2 as false feminine gender in the positive lymphoid knot of , explain the good malignant and lymphoid knot voice is like a diagram characteristic and still exist part layer after layer;Moreover this also with operation of the instrument regulate, to normal with abnormality lymphoid knot identify of picture and the armpit lymphoid knot distribute the control degree of characteristics relevant;In fine, pour the flattering structure change discriminates to pour a flattering point.Much deliver inside armpit and blend lymphoid knot, marrow and lymph to knot a disappearance and L/T mutually<2, lymphoid knot inside the voice of mess blood be like a diagram characteristic, can conduct and actions transfer sex to pour flattering observation index sign.The voice of Gao Pin2 Chao to mammary glands cancer the sufferer be good malignant pour a flattering research can provide worthy diagnosis information, is simple and easily go of discriminate a diagnosis method
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