Draghi F, Ferrozzi G, Cicuttini L, Ferrozzi F, Ferranti C
Servizio di Radiologia, Ospedale Fatebenefratelli, Erba, Como.
Radiol Med. 1993 Apr;85(4):425-9.
One thousand mammograms of non-preselected patients were reviewed in order to assess in how many and which cases an equivocal diagnosis can be made unquestionable and to test the value of follow-up exams with direct radiographic magnification. Direct radiographic magnification was used in all questionable cases (3%): 18 lesions were characterized by microcalcifications and 12 by nodules. Four cases were diagnosed as unquestionable (13%)-1 microcalcification and 3 nodules-while 13 patients were reexamined with mammography only. Even though the percentage variation from equivocal to unquestionable diagnoses is modest but significant, direct radiographic magnification is always useful in the follow-up.
为了评估在多少例以及哪些病例中可以将可疑诊断明确为无疑诊,并测试直接放射放大摄影随访检查的价值,我们回顾了1000例未经预先选择的患者的乳房X线照片。在所有可疑病例(3%)中均使用了直接放射放大摄影:18个病变表现为微钙化,12个表现为结节。4例被诊断为无疑诊(13%)——1例微钙化和3例结节——而13例患者仅接受了乳房X线复查。尽管从可疑诊断到无疑诊的百分比变化不大但具有统计学意义,但直接放射放大摄影在随访中始终是有用的。