目的：探讨高频彩超对炎性乳癌的诊断价值。方法：回顾性分析经手术病理证实的16例炎性乳癌的临床资料，对其临床症状、超声声像图特征及病理类型进行总结分析。结果：16例炎性乳癌临床表现为患侧乳腺丹毒样红肿，触诊均可扪及不规则肿块。1例误诊为急性乳腺炎，经治疗后无明显改善，后经穿刺病理学活检诊断为炎性乳腺癌。15例经高频彩超提示诊断，声像图表现为：病变区域皮肤及皮下组织增厚水肿，淋巴管扩张，呈“鹅卵石”样改变，另可见不规则肿块，伴或不伴钙化，引流区淋巴结肿大。所有患者病理结果均伴有淋巴管癌栓。结论：对有急性乳腺炎表现的患者，结合高频彩超的声像图表现综合分析是提高炎性乳癌术前诊断的关键。

Objective: To study the diagnostic value of high frequency ultrasound in inflammatory breast cancer patients. Methods: The clinical data of 16 cases of inflammatory breast cancer confirmed by surgical pathology were retrospectively analyzed, in which the clinical symptoms, ultrasonographic characteristics and pathologic types were summaried. Results: The clinical manifestations of 16 cases of inflammatory breast cancer were with lateral breast erysipelas sample red and swollen, irregular mass, which could be touched. One case was misdiagnosed as acute mastitis, there was no obvious improvement after treatment, afterwards by the puncture biopsy pathology it was diagnosed as inflammatory breast cancer. Fifteen cases were diagnosed by high frequency ultrasound. Ultrasonographic performance includes that the area of skin and subcutaneous tissue were edema and thicken, lymphatic vessel were extension, it had a “pebbles” syndrome, the irregular mass, with or without calcification, drainage area of lymph nodes were enlargement. All patients with pathological results were accompanied by lymphatic vessel tumor embolism. Conclusion: For patients with acute mastitis performance, comprehensive analysis combined with high frequency ultrasound is the key to improve the preoperative diagnosis of inflammatory breast cancer.