Haghighi Fatemeh, Naseh Ghodratollah, Mohammadifard Mahyar, Abdollahi Naeeme
Associate Professor of Pathology, Department of Pathology, Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran.
Assistant Professor of Surgery, Department of Surgery, Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran.
Electron Physician. 2017 Oct 25;9(10):5494-5498. doi: 10.19082/5494. eCollection 2017 Oct.
Early diagnosis of breast cancer, the incidence of which among Iranian women is about a decade earlier than in developed countries, is important.
To compare mammography and ultrasonography findings with those of pathology in patients with breast cancer.
This descriptive cross-sectional study was performed using medical records of 79 patients with breast malignancies, who were referred to Imam Reza Hospital and private laboratories of Birjand, Iran, from December 2012 to December 2014. The patients' information was recorded using a checklist, which included name, code, age, ultrasonography, and mammography results and pathology reports. The results of ultrasonography and mammography were compared with pathology findings as the gold standard. SPSS Version 21 was used for data analysis.
The mean age of the patients was 46.94 ± 11.76 years. The results showed that 74.7%, 16.5%, and 7.6% of the patients had ductal carcinoma, lobular carcinoma, and mixed carcinoma, respectively. About 72.5%, 24.6%, and 2.9% of the patients had stage 2, 3, and 1 breast cancer, respectively. In addition, both breasts were involved in 1.3% of the patients. The ultrasound findings were positive and false negative in 97.5% and 2.5% of the cases. Moreover, the mammography results were positive and false negative in 98.7% and 1.3% of the patients.
This study showed that mammography is the preferred modality in screening breast cancer patients; the use of complementary tests such as ultrasonography is recommended, especially in high-risk women.
乳腺癌的早期诊断很重要，伊朗女性乳腺癌的发病率比发达国家早大约十年。
比较乳腺癌患者的乳房X线摄影和超声检查结果与病理检查结果。
本描述性横断面研究使用了2012年12月至2014年12月转诊至伊朗比尔詹德伊玛目礼萨医院和私立实验室的79例乳腺恶性肿瘤患者的病历。使用一份清单记录患者信息，该清单包括姓名、代码、年龄、超声检查和乳房X线摄影结果以及病理报告。将超声检查和乳房X线摄影结果与作为金标准的病理检查结果进行比较。使用SPSS 21版进行数据分析。
患者的平均年龄为46.94±11.76岁。结果显示，分别有74.7%、16.5%和7.6%的患者患有导管癌、小叶癌和混合癌。分别有72.5%、24.6%和2.9%的患者患有2期、3期和1期乳腺癌。此外，1.3%的患者双侧乳房均受累。超声检查结果在97.5%的病例中为阳性，在2.5%的病例中为假阴性。此外，乳房X线摄影结果在98.7%的患者中为阳性，在1.3%的患者中为假阴性。
本研究表明，乳房X线摄影是筛查乳腺癌患者的首选方式；建议使用超声检查等补充检查，尤其是在高危女性中。
