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[乳腺超声检查:当前应用与展望(作者译)]

[Ultrasonographic examination of the breast: current use and perspectives (author's transl)].

作者信息

Granger M, Lansac J, Pourcelot L

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1980;9(6):641-8.

PMID:7462568
Abstract

Ultrasonographic examinations were conducted in one hundred patients with breast tumors (fifty cancers, twenty-five fibro-adenomas, and twenty-five cysts) using a manual apparatus and a 5 megahertz probe. Cysts are easily, diagnosed by ultrasonography if they are larger than 5 mm in diameter, but an equally effective result can be obtained by needle puncture. Results are less valid in fibro-adenomas (3 false positives), but this method is feasible in young women with radio-opaque breasts. Diagnosis by ultrasonography of breast cancers again depends on the size of the tumor (40 p. cent of false negatives in TI cases). The authors presently employ ultrasonography only for the diagnosis of solid, apparently non-malignant tumors, in young women (under 30 years) in whom mammography is ineffective, and for non-palpable radiologically detected opacities. New ultrasonography technics should enable improved results to be obtained when using non-invasive procedures for the diagnosis of breast tumors.

摘要

使用手动设备和5兆赫探头,对100例乳腺肿瘤患者(50例癌症、25例纤维腺瘤和25例囊肿)进行了超声检查。如果囊肿直径大于5毫米,超声检查很容易诊断,但通过针刺也能获得同样有效的结果。纤维腺瘤的诊断结果有效性较低(有3例假阳性),但这种方法在乳房不透射线的年轻女性中是可行的。乳腺癌的超声诊断再次取决于肿瘤大小(T1期病例中有40%假阴性)。作者目前仅将超声检查用于诊断年轻女性(30岁以下)中实性、明显非恶性的肿瘤,这些女性的乳房X线摄影无效,以及用于诊断触诊不到但放射学检测到的不透明病变。新的超声检查技术应能在使用非侵入性程序诊断乳腺肿瘤时取得更好的结果。

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