摘要
目的：探讨高频彩超及X线钼靶检查诊断乳腺原位癌的影像学特点。方法：回顾性分析我院2007年1月—2013年12月经手术证实为乳腺原位癌共30例患者的高频彩超及X线钼靶检查的影像学资料，并作对照分析研究。结果：30例乳腺原位癌患者中，乳腺X线钼靶检查有乳腺癌征象共有21例，诊断正确率70%；乳腺高频彩超检查呈乳腺癌表现的有16例，诊断正确率53%。X线钼靶对乳腺原位癌的诊断正确率（70%）显著高于彩超（53%）。X线钼靶对肿瘤微钙化的正确识别率（66.7%）显著高于彩超（40%）。结论：对于乳腺原位癌的早期影像学诊断来说，乳腺X线钼靶优于高频彩超检查，但二者能取长补短，联合应用两种影像学方法能进一步提高乳腺原位癌的检出率，减少漏诊的发生。
Abstract
Objective: To investigate the imaging characteristics of high-frequency color Doppler ultrasound and X-ray mammography examination in diagnosing breast carcinoma in situ. Methods: Imaging data of 30 patients with breast carcinoma in situ by comfirmation of pathology were retrospectively reviewed. Both high-frequency color Doppler ultrasound and X-ray mammography examination were between January 2007 and December 2013. Results: Among all 30 patients with breast carcinoma in situ, 21 cases were detected by X-ray mammography examination with a diagnostic accuracy of 70%. 16 cases were detected by high-frequency color Doppler ultrasound with a dagnostic accuracy of 53%. The diagnostic accuracy of X-ray mammography examination(70%) is significantly higher than that of high-frequency color Doppler ultrasound(53%) for breast carcinoma in situ. X-ray mammography examination showed significantly higher rate(66.7%) of tumor microcalcification onset than high-frequency color Doppler ultrasound(40%). Conclusions: For the early diagnosis of breast carcinoma in situ, X-ray mammography examination was better than high-frequency color Doppler ultrasound, but both methods can make complements to each other. A combination of two imaging methods can improve the detection rate of breast carcinoma in situ and further reduce the misdiagnosis rate.
关键词
乳腺肿瘤 /
癌 /
原位 /
乳房X线摄影术 /
超声检查 /
多普勒 /
彩色
Key words
Breast neoplasms /
Carcinoma in situ /
Mammography /
Ultrasonography /
Doppler /
color
张秉宜;张郁林;韩 玲;高 扬;王 旭;平 杰;张 玲;李 爽.
高频彩超及X线钼靶检查对乳腺原位癌早期诊断价值的对照分析[J]. 中国临床医学影像杂志. 2015, 26(1): 14-17
ZHANG Bing-yi;ZHANG Yu-lin;HAN Ling;GAO Yang;WANG Xu;PING Jie;ZHANG Ling;LI Shuang.
Control study between high frequency color Doppler ultrasound and X-ray mammography examination in the early diagnosis of breast carcinoma in situ[J]. Journal of China Clinic Medical Imaging. 2015, 26(1): 14-17
中图分类号：
Ｒ737.9
Ｒ445.1
R814.41
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