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[生长受限的乳腺肿瘤的鉴别诊断]

[Differential diagnosis of breast tumors with limited growth].

作者信息

Rozhkova N I, Frolov I M

出版信息

Vestn Rentgenol Radiol. 1989 Jul-Aug(4):50-3.

PMID:2554560
Abstract

The paper is concerned with the results of comparative analysis of the clinical, x-ray and cytological methods of investigation of women with breast tumors in situ (43 cases of cancer and 19 cases of intracanalicular fibroadenoma, the latter being difficult for differential diagnosis). A number of important diagnostic symptoms were identified. Cancer affected more frequently women over 55. It was characterized by the presence of microcalcinates (60 +/- 13%) and inadequacy of tumor sizes on palpation and on radiograms (35 +/- 7%). The diagnostic accuracy of the methods used separately was 44 +/- 8% for the clinical method, 79 +/- 7% for the x-ray method, and 89 +/- 3% for the cytological method. Their combined use in a specialized mammography unit resulted in 98 +/- 2% of diagnostic accuracy.

摘要

本文关注对原位乳腺肿瘤女性患者(43例癌症和19例管内纤维腺瘤,后者鉴别诊断困难)进行临床、X线及细胞学检查方法的对比分析结果。确定了一些重要的诊断症状。癌症在55岁以上女性中更为常见。其特征为存在微钙化(60±13%)以及触诊和X线片上肿瘤大小不相符(35±7%)。单独使用各方法的诊断准确率为:临床方法44±8%,X线方法79±7%,细胞学方法89±3%。在专业乳腺摄影单位联合使用这些方法,诊断准确率达98±2%。

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