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乳腺钼靶摄影在乳腺肿块诊断及鉴别诊断中的临床价值

Clinical value of mammography in diagnosis and identification of breast mass.

作者信息

Li Hongjun, Zhang Shanhua, Wang Qingyuan, Zhu Rongguang

机构信息

Hongjun Li, Department of Radiology, Binzhou People's Hospital, Binzhou, Shandong, 256610, China.

Shanhua Zhang, Department of Radiology, Binzhou People's Hospital, Binzhou, Shandong, 256610, China.

出版信息

Pak J Med Sci. 2016 Jul-Aug;32(4):1020-5. doi: 10.12669/pjms.324.9384.

Abstract

OBJECTIVE

To study the effect and clinical value of mammography in the diagnosis of breast lump so as to improve the diagnosis level of breast cancer.

METHODS

A retrospective analysis was carried out on clinical data of 110 patients with mammary lump confirmed by pathology to study the compliance of mammography diagnosis and Pathology diagnosis in breast lump, and the detection of microcalcifications, phyllode, and observe the image performance of mammography. Taking infitrating ductal carcinoma (IDC) as an example, the correlation of image performance and clinical pathological features of different types was studied so as to predict if mammography performance was effective in the treatment and prognosis in breast cancer.

RESULTS

Taking Breast Imaging Reporting and Data System (BI-RADS) grade 4A as the critical point, the sensitivity, specificity and accuracy of mammography was 90.80% (109/120), 84.60% (126/149) and 87.40% (235/269); taking BI-RADS grade 4B as the critical point, the sensitivity, specificity and accuracy of mammography was 85.00% (102/120), 93.30% (139/149) and 89.60% (241/269); the correlation analysis suggested that, there was some kind of correlation between the mammography performance and clinical features of breast cancer.

CONCLUSION

Mammography is worth being promoted in clinic for its significant clinical value in diagnosing and identifying breast lump.

摘要

目的

探讨乳腺钼靶摄影在乳腺肿块诊断中的作用及临床价值,以提高乳腺癌的诊断水平。

方法

回顾性分析110例经病理确诊的乳腺肿块患者的临床资料,研究乳腺钼靶摄影诊断与病理诊断在乳腺肿块中的符合情况,以及微钙化、叶状肿瘤的检出情况,并观察乳腺钼靶摄影的影像表现。以浸润性导管癌(IDC)为例,研究不同类型的影像表现与临床病理特征的相关性,以预测乳腺钼靶摄影表现对乳腺癌治疗及预后的有效性。

结果

以乳腺影像报告和数据系统(BI-RADS)4A级为临界点,乳腺钼靶摄影的敏感度、特异度和准确度分别为90.80%(109/120)、84.60%(126/149)和87.40%(235/269);以BI-RADS 4B级为临界点,乳腺钼靶摄影的敏感度、特异度和准确度分别为85.00%(102/120)、93.30%(139/149)和89.60%(241/269);相关性分析提示,乳腺钼靶摄影表现与乳腺癌临床特征之间存在一定相关性。

结论

乳腺钼靶摄影在乳腺肿块的诊断及鉴别诊断中具有重要临床价值,值得临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/377e/5017071/042f44fa6490/PJMS-32-1020-g001.jpg

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