De Gezelle H, Vanpeperstraete A, Defoort P, Serreyn R, Vandekerckhove D
Arch Gynecol. 1981;230(3):219-23. doi: 10.1007/BF02111806.
One hundred eleven palpable breast tumours were evaluated clinically, by mammography, and by ultrasound; upon histological examination 51 of the tumours turned out to be malignant and 60 benign. In 44 tumours, which appeared malignant on the ultrasound scan, the axilla was also scanned and the findings were compared with the results of histological examination of excised lymph nodes. The diagnostic accuracy for malignancy of breast tumours was 86.3% for ultrasound scans, 80.4% for mammography, and 78.4% for clinical evaluation; the respective diagnostic accuracy for benign lesions was 88.3%, 85%, and 91.7%. Of 36 enlarged reactive or malignant lymph nodes, 32 were detected by ultrasound and only 18 by clinical examination.
对111个可触及的乳腺肿瘤进行了临床、乳房X线摄影及超声评估；经组织学检查，其中51个肿瘤为恶性，60个为良性。在超声扫描显示为恶性的44个肿瘤中，还对腋窝进行了扫描，并将结果与切除淋巴结的组织学检查结果进行了比较。乳腺肿瘤恶性诊断的超声扫描准确率为86.3%，乳房X线摄影为80.4%，临床评估为78.4%；良性病变的相应诊断准确率分别为88.3%、85%和91.7%。在36个肿大的反应性或恶性淋巴结中，超声检测出32个，临床检查仅检测出18个。
