高频超声、钼靶X线及二者联合诊断早期乳腺癌的价值比较
高频超声,,高频超声;钼靶X线;乳腺肿瘤,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 比较高频超声与钼靶X线对早期乳腺癌诊断的优缺点,探讨二者联合诊断的价值。方法 对46例直径≤2cm的乳腺癌做高频超声与钼靶X线检查,并与手术病理诊断对照。结果 对于直径≤2cm的乳腺癌,高频超声与钼靶X线检查的病理诊断符合率相似,高频超声对肿块敏感,钼靶X线对单纯钙化敏感。对少见病理类型和直径在0.5~1.0cm范围内的乳腺癌,二者联合诊断具有互补性。结论 高频超声联合钼靶X线可以提高早期乳腺癌的诊断率,对可疑病例,一种检查未发现病灶的,有必要进行另一种检查作为补充。【关键词】 高频超声;钼靶X线;乳腺肿瘤
Comparison of the diagnostic value of highresolution ultrasonography VS mammography and their combination for early breast cancer
SUN Xiaolan,HAN Benyi,CAO Wei,et al.
Department of Ultrasonography,Shanghai Shidong Hospital,Shanghai 200438,China
【Abstract】 Objective To compare the advantage and defect of the diagnosis of early breast cancer by highresolution ultrasound and mammography,and assess the value of the combined diagnosis by two methods.Methods Fortysix cases of breast cancer whose diameter was smaller than 2cm were examined by highresolution ultrasound and mammography before operation.Diagnosis was made in every case and compared with the pathological results.Results The accuracy of pathological diagnosis of breast cancer whose diameter was smaller than 2cm by highresolution ultrasound and mammography was similar.The highresolution ultrasound was susceptible to the tumor and the mammography was susceptible to the microcalcification.Highresolution ultrasound and mammography was supplementary in diagnosis of breast cancer for each other,especially of the cancer with minority pattern of the pathology and the tumor whose diameter was in range of 0.5~1.0cm.Conclusion Highresolution ultrasound combined with mammography can improve the diagnosis of early breast cancer.To those suspected cases,when one method cannt detect the focus,it is necessary to have another method as complement. ......
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