乳腺癌的临床、乳腺X线摄影、超声及组织学评估。

A clinical, mammographic, sonographic and histologic evaluation of breast cancer.

作者信息

Meden H, Neues K P, Röben-Kämpken S, Kuhn W

机构信息

Department of Obstetrics and Gynecology, University of Göttingen, Germany.

出版信息

Int J Gynaecol Obstet. 1995 Feb;48(2):193-9. doi: 10.1016/0020-7292(94)02278-7.

DOI:10.1016/0020-7292(94)02278-7

PMID:7789593

Abstract

OBJECTIVE

To evaluate histologic tumor size in comparison with preoperative determination of tumor diameter by palpation, mammography and sonography.

METHODS

In a retrospective analysis we compared the histologic, clinical, mammographic and sonographic findings obtained from 160 patients with breast carcinoma.

RESULTS

The histologically determined tumors showed an average diameter of 25.7 mm. By comparison, the average tumor diameter determined by mammography, sonography and palpation was 23.8, 26.1 and 30.6 mm, respectively. Mammography was capable of detecting 94.5% of breast carcinomas, breast sonography 91% and palpation 87%. The combinations of mammography and sonography or mammography and palpation detected 99% of carcinomas, and sonography and palpation 95% of carcinomas.

CONCLUSION

As supplementary methods to preoperative clinical examination, mammography and breast sonography are mutually complementary, high-resolution imaging techniques of utmost importance in the preoperative diagnosis and surgical treatment of breast cancer patients.

摘要

目的

通过触诊、乳腺X线摄影及超声检查术前测定肿瘤直径，并与组织学肿瘤大小进行比较评估。

方法

我们进行了一项回顾性分析，比较了160例乳腺癌患者的组织学、临床、乳腺X线摄影及超声检查结果。

结果

组织学测定的肿瘤平均直径为25.7毫米。相比之下，乳腺X线摄影、超声检查及触诊测定的肿瘤平均直径分别为23.8、26.1及30.6毫米。乳腺X线摄影能够检测出94.5%的乳腺癌，乳腺超声检查为91%，触诊为87%。乳腺X线摄影与超声检查或乳腺X线摄影与触诊联合检测出99%的癌症，超声检查与触诊联合检测出95%的癌症。