保乳术后癌症复发——102例连续病例的诊断特征

Cancer reoccurrence in the conserved breast - diagnostic features in a consecutive series of 102 cases.

作者信息

Ciatto S, Cataliotti L, Pacini P, Distante V, Bianchi S, Simoncini R, Cardona G, Rontini M, Falli F, Elbetti C

机构信息

UNIV FLORENCE,IST CLIN CHIRURG 1,I-50121 FLORENCE,ITALY. UNIV FLORENCE,IST ANAT & ISTOL PATOL,I-50121 FLORENCE,ITALY. CAREGGI HOSP,DEPT RADIOTHERAPY,FLORENCE,ITALY.

出版信息

Int J Oncol. 1993 Aug;3(2):337-9. doi: 10.3892/ijo.3.2.337.

DOI:10.3892/ijo.3.2.337

PMID:21573370

Abstract

Diagnostic features of 102 consecutive cases of cancer reoccurrence in the conserved breast are reported. The sensitivity of palpation, mammography, cytology or ultrasonography was 75.5%, 58.7%, 77.4% and 77.8%, respectively. Mammography failures were not due to natural breast density and could probably be explained by the masking effect of surgical scar and distortion. Most failures at cytology were due to inadequate sampling. Palpation should always be associated with mammography in the follow-up of the conserved breast. Aspiration cytology should.be performed incase of any abnormality seen at palpation or mammography.

摘要

报告了102例保乳术后癌症复发的连续病例的诊断特征。触诊、乳腺X线摄影、细胞学检查或超声检查的敏感性分别为75.5%、58.7%、77.4%和77.8%。乳腺X线摄影检查失败并非由于乳腺本身的密度，可能是由于手术瘢痕的掩盖效应和变形所致。大多数细胞学检查失败是由于取样不足。在保乳术后的随访中，触诊应始终与乳腺X线摄影相结合。如果在触诊或乳腺X线摄影中发现任何异常，应进行细针穿刺细胞学检查。