乳腺X线钼靶照像诊断乳癌误诊病例分析  

An Analysis on Misdiagnostic Cases of Breast Carcinoma Diagnosed by Molybdic Target Roentgenography

作　　者：黄其敏[1] 

机构地区：[1]北京医科大学北京肿瘤医院放射科

出　　处：《实用放射学杂志》1997年第12期713-715,共3页Journal of Practical Radiology

摘　　要：目的：分析乳腺Ｘ线钼靶照像误诊病例影像特点以降低误诊率。方法：回顾近２年来经Ｘ线诊断后行乳腺手术并经病理证实的３２例误诊病例。结果：３２例中有１４例恶性病诊为良性，误诊率为５．９％，１８例良性病诊为恶性，误诊率为９．０％，乳腺单纯癌占恶性误诊率的４２．９％，其次为浸润性导管癌，占２８．６％。浆细胞乳腺炎占良性病误诊率３３．３％。结论：在乳腺Ｘ线片上只显示圆形肿块的单纯癌及髓样癌易误诊为纤维腺瘤。浸润性导管癌容易漏诊。浆细胞乳腺炎与乳腺癌易于混淆。但认真分析后，在Ｘ线片上还是可以区别的。Objective:To analyse the features of mammogram by molybdic target roentgenography in misdiagnostic cases.Methods:Thirty-two misdiagnostic cases of breast disease diagnosed by roentgenogram and confirmed by operation and pathology were reviewed.Result:Of 32 misdiagnostic cases,14 malignant cases were misdiagnosed as benign cases and 18 benign cases were misdiagnosed as malignant cases.The rate of misdiagnosis was 5.9% and 9.0% respectively.The simple mammary carcinoma maked up 42.9% of the misdiagnostic rate in malignant cases,and the infiltrating ductal carcinoma maked up 28.6%.The plasma cell mastitis maked up 33.3% of the misdiagnostic rate in benign csae. Conclusion:A simple breast carcinoma or a medullary breast carcinoma which showes as a round mass at mammorgram is apt to be misdiagnosed as a fibro-adenoma.And an infiltrating ductal carcinoma is easily escaped detection.A plasma cell mastitis is apt to be confused with a breast carcinoma.They are,however,distinguishable at the mammogram by careful analysis.

关 键 词：乳腺癌 放射摄影术 误诊 诊断 

分 类 号：R737.904[医药卫生—肿瘤] R730.44[医药卫生—临床医学]