全数字化乳腺钼靶X线摄影在早期乳腺癌诊断中的应用价值

发布时间：2018-03-11 13:35

本文选题：全数字化乳腺钼靶X线摄影　切入点：早期乳腺癌　出处：《中国老年学杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的探讨全数字化乳腺钼靶X线摄影对早期乳腺癌的诊断价值。方法回顾性分析2013年1月至2014年6月70例乳腺钼靶X线诊断IB-RADS评分4级及以上、经病理证实或随访证实的病例,钼靶X线诊断结果与病理结果对照比较。结果病理检查确诊发现良性3例,恶性67例,全数字化乳腺钼靶X线摄影正确诊断率95.7%,其中肿块及结构扭曲、钙化等征象47例(67.1%),仅表现微钙化征象23例(32.9%)。3例良性病变误诊为恶性病变:1例为右乳外上象限肿块影,边缘清晰,呈浅分叶状,未见明显钙化;术后病理结果为乳腺结核。1例为左乳外上象限大片状致密影,其内大片成簇状微小钙化;病理结果为乳腺囊肿。1例为左乳头深部肿块影,边缘模糊欠规整;病理结果为乳腺囊肿。结论肿块及微小钙化是乳腺癌最直接、最主要的X线征象,全数字化乳腺钼靶X线摄影对乳腺组织结构显示清晰,特别对于微小钙化是其他检查不可比拟的,对早期乳腺癌有很高的诊断价值,大大提高了早期乳腺癌的诊断正确率。
[Abstract]:Objective to evaluate the value of digital mammography in the diagnosis of early breast cancer. Methods from January 2013 to June 2014, 70 cases with IB-RADS grade 4 or above, confirmed by pathology or followed up, were analyzed retrospectively. Results three cases of benign and 67 cases of malignancy were confirmed by pathological examination. The correct diagnosis rate of total digital mammography was 95.7, in which the mass and structure were distorted. Calcification and other signs were found in 47 cases (67.1%) and microcalcification in 23 cases (32. 9%). 3 cases of benign lesions were misdiagnosed as malignant lesions (1 case) with clear margin and superficial lobular shape, and no obvious calcification. The pathological results were as follows: 1 cases of tuberculosis of mammary gland were large slice dense shadow of the upper quadrant of left mammary gland, and 1 cases of breast cyst were deep masses of left nipple with vague and irregular margin. Conclusion the mass and microcalcification are the most direct and main X-ray signs of breast cancer. All digital mammography shows clearly the structure of mammary gland. Microcalcification is incomparable to other examinations, which has a high diagnostic value for early breast cancer and greatly improves the diagnostic accuracy of early breast cancer.
【作者单位】：唐山市工人医院放射科;唐山市人民医院放射科;唐山市妇幼保健院放射科;
【分类号】：R737.9;R730.44

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