不可触及肿物乳腺癌的临床诊断  

Clinical diagnosis of breast cancer with nonpalpable tumor

作　　者：邬玉辉[1] 陈飞宇[1] 欧阳慧英[1] 王守满[1] 

机构地区：[1]中南大学湘雅医院乳腺科,长沙410008

出　　处：《中南大学学报（医学版）》2008年第9期861-864,共4页Journal of Central South University ：Medical Science

摘　　要：目的:探讨不可触及肿物乳腺癌的早期诊断。方法:对46例查体不可触及肿物的病例进行钼靶X线摄片及超声检查,有乳头溢液者均行乳管镜检查。结果:46例均经病理检查证实为乳腺癌患者,其中钼靶示结节或钙化、结构紊乱等提示乳癌34例,考虑良性肿瘤5例,未见病变7例;超声诊断乳癌31例,考虑良性病变6例,未见占位性病变9例;6例乳头溢液乳管镜均示占位性病变经定位活检确诊。结论:钼靶、超声是早期发现乳腺癌的重要手段,重视早期癌的体征,联合检诊,互相弥补,可提高乳癌的早诊率。Objective To investigate the early diagnosis of breast cancer with nonpalpable tumor. Methods Forty-six cases of clinical nonpalpable tumor were examined by mammography and sonography. The cases of nipple discharge were also examined by fiberoptic ductoscopy. Results Breast cancer in 46 cases was diagnosed by pathological examination. Of them, 34 diagnosed with breast cancer were found with nodus, calcification or confused structure, and so on, 5 were considered benign tumor, and 7 were not found lesion by mammography. Thirty-one cases were diagnosed with breast cancer, 6 with benign tumor, and 9 were not found occupying lesion by sonography. Occupying lesions were found in 6 cases of nipple discharge by fiberoptie ductoscopy and were finally di- agnosed by biopsy. Conclusion Mammography and sonography are important methods in early discovering breast cancer. Early diagnosis rate of breast cancer can be elevated by signs of early breast cancer and combined examination of mammograply and sonography.

关 键 词：乳腺癌 早期诊断 未触及肿物 

分 类 号：R737.9[医药卫生—肿瘤]