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钼靶X线及B超对乳腺导管原位癌诊断价值的初步研究 被引量:5

Preliminary study on the diagnosis value of ductal carcinoma in situ of the breast with molybdenum target mammographic and sonographic-phic methods
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摘要 目的评价钼靶X线及B超对乳腺导管原位癌的诊断价值。方法收集乳腺导管原位癌42例资料,对比分析乳腺钼靶及彩超检查的诊断准确率。结果在42例乳腺导管原位癌术前乳腺钼靶摄片检查中,表现单纯钙化点30例,占71%;钙化点伴肿块4例,占10%;钙化点伴结构紊乱3例,占7%;单纯结构紊乱2例,占5%;结构紊乱伴肿块1例,占2%;单纯肿块2例,占5%。全部检查结果中,可见乳腺内有微小密集钙化点的37例,占88%。钼靶检查乳腺导管原位癌检出率为88%,彩超检查检出率为69%(P<0.05)。结论乳腺钼靶摄片与彩超诊断乳腺导管原位癌均有较高价值,但乳腺钼靶更有优势。 Objective To evaluate the diagnostic value for the ductal carcinoma in situ of the breast through the molybdenum target mammographic and sonogram-phic methods .Methods From Ju-ly 2009 to December 2012 ,the clinical data of 42 cases with breast carcinoma in situ were selected into the study .Comparative analysis was conducted in the diagnostic accuracy of mammography and ultra-sound examination .Results In the examination of 42 cases of ductal carcinoma in situ preoperative breast mammography ,breast mammography showed 30 cases of calcification alone were accounted for 71% (30/42) .Calcifications associated with tumor in 4case was (10% ) (4/42) .Calcifications associ-ated with structural disorder 3 cases were accounted for 7% (3/42) .Simple structural disorder in 2 cases was accounted for 5% (2/42) .Structural disorder associated with mass was accounted for 2%(1 /42) .Simple mass in 2 cases was accounted for 5% (2/42) .In all cases ,breast mammography film shows small dense calcifications in 37cases was accounted for 88% (37/42) wit-hin the breast . The diagnosis rate was f 88% (37/42) with breast mammography diagnosis and color Doppler ultra-sound diagnosis rate was 69% (29/42) (P 〈0 .05) .Conclusion Both molybedenum target mammog-raphy and sonography are useful diagnostic methods of ductal carcinoma in situ of the breast ,but the former is better than the latter .
作者 宿世琼 倪青
出处 《贵州医药》 CAS 2014年第9期791-793,共3页 Guizhou Medical Journal
关键词 乳腺 导管原位 癌钼靶X 线彩色超声 Breast Ductal carcinoma in situ Molybdenum target X-ray radiography Color Doppler ultrasonography
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  • 1肖俊波,门立明.乳腺钼靶片在隐性乳腺癌诊治中的应用体会[J].中国医药导报,2010,7(31):166-167. 被引量:8
  • 2David P.Winchester,Jan M.Jeske,Robert A.Goldschmidt.The diagnosis and management of ductal carcinoma in‐situ of the breast[J].CA: A Cancer Journal for Clinicians.2008(3)
  • 3Ayumi Izumori,Koji Takebe,Akira Sato.Ultrasound findings and histological features of ductal carcinoma in situ detected by ultrasound examination alone[J].Breast Cancer.2010(2)

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