乳腺摄影与超声成像对导管原位癌的诊断价值  

Diagnostic values of mammography and color Doppler ultrasonography for mammary ductal carcinoma in situ

作　　者：李宇明[1] 殷信道[2] 郑金霞[1] 陈慧[1] 

机构地区：[1]南京医科大学附属南京妇幼保健院,江苏南京210004 [2]南京医科大学附属南京第一医院,江苏南京210006

出　　处：《中国妇幼健康研究》2010年第3期362-364,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的 比较乳腺摄影与彩色多普勒超声对乳腺导管原位癌的诊断价值.方法 对30例经手术病理证实的乳腺导管原位癌患者同时行乳腺摄影和超声检查.与病理结果 对照分析,比较二者诊断的敏感性.结果 在30例乳腺导管原位癌中,乳腺摄影诊断为恶性病变21例,可疑恶性病变6例,误诊为良性病变3例,对乳腺癌诊断的敏感性为90.0%;超声诊断乳腺恶性病变13例,误诊为良性病变17例,诊断敏感性为43.3%.比较乳腺摄影与超声成像的诊断敏感性,差异有统计学意义（χ^2=12.07,P〈0.05）.结论 在乳腺导管原位癌诊断中,乳腺摄影的诊断敏感性高于超声检查,具有明显优势.Objectve To compare diagnostic values of mammography and color Doppler ultrasonography （CDU） for mammary ductal carcinoma in situ （DCIS）. Methods 30 women with mammary DCIS conformed by pathology received mammmography and CDU. By contrasting to pathological results, the diagnostic sensitivities of the two examination methods for mammary DCIS were compared. Results Among 30 cases of mammary DCIS conformed by pathology, 21 cases were diagnosed as breast cancers, 6 cases were diagnosed as suspecious magliant lesions, and the rest women were misdiagnosed as benign lesions by mammography. Whereas only 13 cases were diagnosed as breast cancers, 17 cases were misdiagnosed as benign lesions by CDU. The sensitivity of these two examinations was 90.0% and 43.3% respectively, there was a significant difference between the two examination methods （X^2 = 12.07, P 〈 0.05 ）. Conculsion Mammography is superior to CDU in diagnosing mammary DCIS, because the former has a higher sensitivity than the latter.

关 键 词：乳腺摄影 彩色多普勒超声 乳腺 导管原位癌 

分 类 号：R737.9[医药卫生—肿瘤] R445[医药卫生—临床医学]