摘要
目的:探讨全视野数字化乳腺X线摄影检查23例乳腺癌漏误诊的原因,为准确诊断乳腺癌提供参考依据。方法:收集我院2016-09~2017-03经全视野数字化乳腺X线摄影检查漏误诊的乳腺癌病例23例,结合病理结果对其影像学征象进行回顾性分析研究。结果:23例漏误诊病例中,误诊21例,漏诊2例。30~50岁17例,占74%;51~70岁6例,占16%。18例病变无明显恶性征象,主要表现为非对称性致密影、边界清晰肿块、边缘模糊团块影、结构紊乱等;2例为相对典型恶性病灶,系医师对病变判断不足,造成误诊;1例乳腺导管造影显示导管无明显破坏,似良性,故误诊;2例为病灶较小,掩盖于致密腺体内导致未检出而漏诊。结论:某些乳腺癌病灶在全视野数字化乳腺X线摄影检查中表现不典型,容易漏误诊,医师应充分阅读X线片,仔细分析直接征象,研究其合理性,必要时结合查体或其他检查资料,有效降低漏误诊率。
Objective：To explore the missed or misdiagnosis causes of full-field digital manmography（FFDM）in breast cancer,to provide reference for accurate diagnosis of breast cancer.Methods：Twenty-three cases with breast cancer missed or misdiagnosed in FFDM in our hospital from September 2016 to March 2017 were collected.The imaging findings were analyzed retrospectively combined with the pathological findings.Results：In 23 cases,21 cases were misdiagnosed and 2 cases were missed.Seventeen cases of 30-50 years old,accounting for74%,6 cases of 51-70 years old,accounting for 16%.Eighteen cases showed no signs of malignancy,mainly for non symmetric compact,clear boundary mass,fuzzy edge mass and structural disorder,2 cases of typical malignant lesions,but doctor was wrong about the lesions,1 case of galactography showed catheter without obvious damage,like benign,so misdiagnosis,2 cases were small,covered up with dense glands lead to undeteced.Conclusion：The X-ray manifestations of atypical cases,because there is no characteristic imaging findings,easy to miss,physicians should analyze the direct signs carefully,when necessary,combined with other examination data,can effectively reduce the misdiagnosis rate.
作者
石新霞
刘晓红
贾雄
SHI Xinxia;LIU Xiaohong;JIA Xiong.(Department of Radiology, Lanzhou General Hospital of PLA, Lanzhou 730050,Chin)
出处
《西北国防医学杂志》
CAS
2017年第11期705-708,共4页
Medical Journal of National Defending Forces in Northwest China
