钼靶、超声检出微钙化灶对乳腺癌诊断价值的研究  

Study on the significance of microcalcification detected by molybdenum-target photography and ultrasonography in diagnosis of breast cancer

作　　者：贺红艳[1] 张大伟[1] 韦德湛[1] 李静[1] 朱大江[1] 周东华[1] 覃艳[1] 

机构地区：[1]广东省佛山市妇幼保健院,528000

出　　处：《中国妇幼保健》2013年第22期3678-3681,共4页Maternal and Child Health Care of China

基　　金：佛山市卫生局基金〔2012162〕

摘　　要：目的:探讨微钙化灶在乳腺癌,特别是早期乳腺癌诊断中的价值。方法:收集58例的乳腺钼靶或超声图像显示微钙化灶且BI-RADS4级及以上的患者,对照其术后病理资料,评价乳腺癌术前钼靶和超声图像上微钙化灶的特征,包括微钙化灶的大小、形态、密集度、分布及与肿块的关系;分析超声及钼靶对乳腺癌的诊断率差异,对微钙化灶敏感性及与病理一致性的差异。结果:58例患者,病理证实乳腺癌54例,钼靶组诊断乳腺癌48例,超声组诊断乳腺癌40例。病理下可见微钙化57例,钼靶显示微钙化53例,超声显示微钙化47例。结论:超声对显示乳腺癌肿块及肿块内微钙化较钼靶有优势,钼靶对于肿块外钙化及以微钙化为唯一表现的乳腺癌优于超声,两者结合可提高乳腺癌,特别是早期乳腺癌的诊出率。Objective： To explore the significance of microcalcification in diagnosis of breast cancer,especially in early breast cancer.Methods： A total of 58 patients of BI-RADS4 grade or above with microcalcification showed by molybdenum-target photography and ultrasonography were collected,the postoperative pathological data were compared,the characteristics of microcalcification showed by molybdenum-target photography and ultrasonography before surgery were evaluated,including the size,morphology,density,distribution and the relationship with masses;the difference of diagnostic rates of molybdenum-target photography and ultrasonography for breast cancer and the difference of sensitivity of microcalcification and pathological coincidence were analyzed.Results： Among 58 patients,54 patients were diagnosed as breast cancer by pathological examination,48 patients were diagnosed as breast cancer in molybdenum-target photography group,and 40 patients were diagnosed as breast cancer in ultrasonography.Fifty-seven patients were diagnosed as microcalcification after pathological examination,53 and 47 patients were diagnosed as microcalcification by molybdenum-target photography and ultrasonography,respectively.Conclusion： Ultrasonography has advantages for displaying breast cancer masses and microcalcification in masses compared with molybdenum-target photography;for the patients with extra-tumor microcalcification and taking microcalcification as the only manifestation,molybdenum-target photography was superior to ultrasonography,joint application of molybdenum-target photography and ultrasonography can improve the diagnostic rate of breast cancer,especially early breast cancer.

关 键 词：乳腺癌 微钙化 乳腺钼靶 乳腺超声 

分 类 号：R737.9[医药卫生—肿瘤]