乳腺肿块的钼靶、超声和立体定位穿刺与病理的对照研究  

Breast Masses: Study of Mammography, Sonography and Stereotaxic Fine Needle Aspiration Compareing with Pathology

作　　者：杜勇[1] 沈天真[1] 陈星荣[1] 黄祥龙[1] 

机构地区：[1]上海医科大学华山医院放射科

出　　处：《临床放射学杂志》1996年第4期221-223,共3页Journal of Clinical Radiology

摘　　要：目的：应用钼靶、超声和立体定位穿刺与病理对照研究来估价检测乳腺癌的敏感性和特异性。材料与方法：７３例乳腺肿块患者均行两则乳腺钼靶、超声检查，再对肿块行立体定位穿刺，作细胞学检查。结果：在７３例乳腺肿块患者中，Ｘ线钼靶摄片诊断乳腺癌４６例，敏感性为９０．４％；超声诊断乳腺癌４８例，准确率为８３％；立体定位穿刺诊断恶性病变５６例，敏感性为９７％，特异性为９３％，准确率为９５．９％，无假阳性。结论：钼靶、超声和立体定位穿刺联合应用，可早期发现乳腺癌，提高诊断隐匿性乳腺癌的准确性。Objective: Study of mammography, sonography and stereotaxic fine needle aspiration (FNA) compareing with pathology were performed to evaluate the sensitivity and specificity of detection for breast cancer.Materials and Me thods: Mammography, sonography were obtained in 73 patients with breast masses. FNA was performed in every mass and cytology examination was obtained.Results: Mammography in 46 of 73 patients demonstrated breast cancer and the sensitivity was 90.4%; sonography in 48 of 73 patients proved cancer and the accuracy was 83%. Diagnosed malignant tumors with FNA were 56 cases, the sensitivity was 97%; specificity 93%; accuracy 95.5%; and no false positive.Conclusion: With use of mammography, sonography associated with FNA, breast cancer can be early found and the accuracy for detection of occult breast cancer can be improved.

关 键 词：孔腺癌 肿块 X线 钼靶 超声波诊断 立体定位穿刺 

分 类 号：R737.904[医药卫生—肿瘤]