Madjar H, Makowiec U, Mundinger A, Du Bois A, Kommoss F, Schillinger H
Universitäts-Frauenklinik Freiburg.
Ultraschall Med. 1994 Feb;15(1):20-3. doi: 10.1055/s-2007-1003999.
Breast ultrasound has mainly been used for differentiation of cystic and solid lesions. With high resolution technique, which was introduced several years ago, early cancers can now be detected by ultrasound. In this study, 1016 women were examined within 3 months. Mammography was used independently. According to the expected prevalence, 4 nonpalpable carcinomas were detected by sonography. The study proves that high-quality ultrasound equipment allows a primary detection of subclinical breast cancers. In premenopausal patients the sensitivity of mammography is reduced. Therefore, ultrasound should be used complementary to mammography in this age group. Widespread use is not possible due to a deficiency in experienced staff. However, in experienced centres, ultrasound could be used as a supplement to mammographic screening to prove if breast cancer mortality in premenopausal women can be reduced.
乳腺超声主要用于鉴别囊性和实性病变。几年前引入的高分辨率技术，使得现在能够通过超声检测出早期癌症。在本研究中，对1016名女性在3个月内进行了检查。独立使用了乳房X线摄影术。根据预期患病率，超声检查发现了4例不可触及的癌。该研究证明，高质量的超声设备能够初步检测出亚临床期乳腺癌。在绝经前患者中，乳房X线摄影术的敏感性降低。因此，在这个年龄组中，超声应作为乳房X线摄影术的补充手段使用。由于缺乏经验丰富的工作人员，无法广泛应用。然而，在经验丰富的中心，超声可作为乳房X线摄影筛查的补充手段，以验证是否可以降低绝经前女性的乳腺癌死亡率。
