乳腺癌前期病变的影像诊断研究

发布时间：2018-03-12 11:05

本文选题：乳腺肿瘤　切入点：癌前期病变　出处：《实用医学杂志》2015年10期 　论文类型：期刊论文

【摘要】：目的:结合临床特征,探讨合理应用高频B超和X线钼靶检查在乳腺癌前期病变诊断中的应用价值。方法:选取我院2008年1月至2014年1月收治的乳腺癌前期病变患者110例,分析钼靶摄片、B超等诊断资料,并评估临床价值。结果:110例乳腺癌前病变均确诊,其中乳腺导管内乳头状瘤且有不典型导管上皮增生伴发29例,纤维囊性乳腺病且不典型导管上皮增生伴发66例,乳腺导管内乳头状瘤有不典型小叶上皮增生伴发1例,纤维囊性乳腺病有不典型小叶增生伴发3例,伴小叶上皮不典型增生1例,纤维腺瘤形成有不典型导管上皮增生伴发、纤维囊性乳腺病10例。超声检查:高频B超诊断总符合率为40%。溢液组B超符合率为10%(4/40),肿块组符合率为52.3%(22/42),无溢液及肿块组符合率为60.7%(17/28)。溢液组符合率较低,与其他组相比差异有统计学意义(P0.05)。钼靶摄片总符合率为54.1%(40/74)。溢液组为26.7%(8/30),肿块组50%(14/28),既无肿块又无溢液组为87.5%(14/16)。溢液组符合率最低,与其他组相比差异有统计学意义(P0.05),在亚临床诊断中价值显著。相较B超,钼靶摄片检查效果更为显著。结论:乳腺一旦有癌前病变出现,通常在某些方面存在一定表现,需增加警觉意识,与病史结合,对钼靶摄片、B超合理应用,可提高早期检出效果,为临床治疗提供准确的参考依据,保障患者生存质量。
[Abstract]:Objective: to explore the value of rational use of high frequency B ultrasound and mammography in the diagnosis of precancerous lesions of breast cancer. Methods: from January 2008 to January 2014, 110 patients with precancerous lesions of breast cancer were selected in our hospital. The diagnostic data of mammography and B-ultrasound were analyzed, and the clinical value was evaluated. Results all the 110 cases of breast precancerous lesions were diagnosed, 29 of them had intraductal papilloma and atypical ductal epithelial hyperplasia. There were 66 cases of fibrous cystic mammary gland disease with atypical ductal epithelial hyperplasia, 1 case of intraductal papilloma with atypical lobular hyperplasia and 3 cases of fibrous cystic mammary gland disease with atypical lobular hyperplasia. Atypical hyperplasia of lobular epithelium was found in 1 case, and atypical ductal epithelial hyperplasia was found in fibroadenoma. There were 10 cases of fibrocystic mammary disease. Ultrasonic examination: the total coincidence rate of high frequency B ultrasound was 40. The coincidence rate of B ultrasound in the overflow group was 10 / 40%, the coincidence rate in the mass group was 52. 3% 42%, the coincidence rate in the no discharge group and the mass group was 60. 7% / 28. The coincidence rate in the overflow group was lower. Compared with other groups, the difference was statistically significant (P 0.05). The total coincidence rate of molybdenum target films was 54. 1% 40 / 74. In the overflow group, it was 26. 7 / 830%. In the mass group, it was 50 / 14 / 28. In the no mass and no overflow group, it was 87.5% 14 / 16. The coincidence rate in the overflow group was the lowest. Compared with other groups, the difference was statistically significant (P 0.05), which was significant in subclinical diagnosis. Compared with B-ultrasound, mammography was more effective. Conclusion: once there is precancerous lesions in breast, there are usually some manifestations in some aspects. It is necessary to increase the awareness of vigilance, combine with the history of disease, take molybdenum target film and apply B ultrasound reasonably, which can improve the early detection effect, provide accurate reference for clinical treatment, and ensure the quality of life of patients.
【作者单位】：潮州市妇幼保健院;潮州市中心医院超声室;
【分类号】：R737.9;R445.1

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