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乳癌中腋窝淋巴结的CT病理对照 被引量:15

CT-Pathologio Correlation of Axillary Lymph Nodes in Breast Cancer
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摘要 目的:评价CT在乳癌腋窝淋巴结诊断中的价值。材料与方法:20例乳癌患者在术前做了CT扫描,并和病理结果作了比较,腋窝淋巴结短径≥0.5cm认为是异常。结果:CT检出11例有腋窝淋巴结增大,病理均证实为转移;4例病理为转移而CT却阴性;临床检查时仅10例可扪及腋窝淋巴结。CT的真阳性率为73%,假阴性率为27%,敏感性100%。结论:虽然CT较优于临床检查,但仍不是一种术前预计腋窝淋巴结是否受累的准确方法,其主要原因是假阴性率较高。 To determine the CT value of axillary lymph nodes(LNS) in patients with breast cancer.Materials and Methods:20 patients of breast cancer were scanned preoperatively,and compared with the pathololgic results.Axillary LNS measuring≥0.5cm were considered abnormal.Results:CT have detected enlarged LNS in 11 patients and all were confirmed metastasis by pathology.4 patients the pathologic result were metastasis,but CT were negative.On physical examination only 10 patients could palpate the axillary LNS.The true positive rate of CT was 73%,the false negative rate was 27%,and the sensitivity was 100%.Conclusion:Although superior to physical examination,CT was not an accurate predictor of axillary LNS involvement,because of the high false negative rate.
出处 《临床放射学杂志》 CSCD 北大核心 1996年第6期349-351,共3页 Journal of Clinical Radiology
关键词 乳腺癌 腋窝淋巴结 CT Breast cancer Axillary lymph nodes CT
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