钼靶及超声对不同病理分型乳腺黏液癌诊断的对照研究  

Mammography versus ultrasonography in detecting mucinous breast carcinoma of different pathomorphological types

作　　者：郑金霞[1] 顾芸[2] 程晖[1] 王洁[1] 陆小燕[1] 

机构地区：[1]南京医科大学附属南京妇幼保健院放射科,南京医学硕士210004 [2]南京医科大学附属南京妇幼保健院病理科,南京210004

出　　处：《医学研究生学报》2012年第10期1048-1051,共4页Journal of Medical Postgraduates

基　　金：南京市科技发展基金(QYK11138);南京医科大学科研基金(2010NJMU022)

摘　　要：目的关于乳腺黏液癌的钼靶及超声表现国内文献报道较少。文中探讨乳腺钼靶和超声检查在乳腺黏液癌诊断中的应用价值。方法回顾性分析14例乳腺黏液癌患者的临床特点及病理结果(9例单纯型、5例混合型),对术前行钼靶及超声检查进行对照分析。结果 14例患者中钼靶诊断乳腺黏液癌8例,准确率为57.1%(8/14);超声诊断4例,准确率为28.6%(4/14);钼靶联合超声诊断9例,准确率为64.3%(9/14)。钼靶诊断单纯型乳腺黏液癌的准确率为55.6%(5/9),而超声诊断的准确率为22.2%(2/9);钼靶诊断混合型腋下淋巴结肿大的准确率为50%(1/2),超声则为100%(2/2)。结论钼靶联合超声检查能提高诊断乳腺黏液癌准确率;钼靶比超声诊断具有优势,尤其对于单纯型乳腺黏液癌;而对于腋下淋巴结和致密型腺体,超声比钼靶诊断有优势。Objective Reports are rarely seen in domestic literature about the mammographic and ultrasonographic manifes- tations of mueinous breast carcinoma （MBC）. The purpose of this study was to evaluate the accuracy of mammography and ultrasonog- raphy in the detection of MBC. Methods We retrospectively analyzed 14 cases of MBC. Nine of the cases were of the simple type, and the other 5 mixed type pathologically. We compared the clinical characteristics and pathological results with preoperative mammo- graphic and ultrasonographic findings. Results Mammography showed an accuracy of 57.1% （8/14） as compared with 28.6% （4/14） for ultrasonography in detecting MBC, but the combination of the two approaches resulted in an accuracy of 64.3% （9/14）. Mammography exhibited a detection rate of 55.6% （5/9） for simple MBC, and 50% （1/2） for the mixed type of lymph node, while ultrasonography showed a detection rate of 22.2% （2/9） for simple MBC, and 100% （2/2） for the mixed type of lymph node. Conclusion Mammography combined with uhrasonography can improve the diagnostic accuracy in detecting MBC. The former is even better, especially for the simple type, but the latter has more advantages in detecting the lymph node and dense gland.

关 键 词：乳腺肿瘤 黏液癌 钼靶 超声 

分 类 号：R737.3[医药卫生—肿瘤]