临床触诊阴性乳腺癌23例误诊分析  

Reasons for misdiagnosis of palpation-negative breast cancer: an analysis of 23 cases

作　　者：周锐[1] 黄建康[1] 彭德峰[1] 朱金海[1] 朱正志[1] 苏蕾[2] 杨丽[3] 

机构地区：[1]蚌埠医学院第一附属医院肿瘤外科,安徽蚌埠233004 [2]蚌埠医学院第一附属医院功能科,安徽蚌埠233004 [3]蚌埠医学院第一附属医院放射科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2015年第1期29-31,共3页Journal of Bengbu Medical College

摘　　要：目的:通过总结临床触诊阴性乳腺癌的误诊原因,提高乳腺癌的诊断水平。方法:对23例经病理证实的临床触诊均阴性的乳腺癌误诊过程进行回顾性分析,总结误诊原因。结果:23例初诊均误诊为良性疾病,其中乳腺增生病16例,乳腺增生伴瘤样形成趋势4例,术后瘢痕形成1例,乳头湿疹1例,乳腺导管内乳头状瘤1例。误诊时间分别为3个月至1年。结论:临床触诊阴性乳腺癌往往表现(触诊阴性、辅助检查征象)不典型,临床医生应改进观念,提高警惕,及时运用或联合运用适当的检查方法,可提高诊断准确率。Objective： To improve the diagnosis of breast cancer by analyzing the reasons for misdiagnosis of palpation-negative breast cancer. Methods： Twenty-three cases of palpation-negative breast cancer confirmed by pathology were analyzed retrospectively,and the reasons for misdiagnosis were summarized. Results： Of the 23 cases misdiagnosed,16 cases were proved to have mammary gland ill hyperplasia,4 cases mammary gland hyperplasia with tumor formation trend,1 case had postoperative scarring nipple eczema,1 case Nipple eczema and 1 case breast intraductal papilloma. The misdiagnosis occurred 3 months to 1 year before confirmation. Conclusions：The features of palpation-negative breast cancer are usually not typical. Clinicians should heighten vigilance and use timely or jointly proper inspection methods to improve the diagnosis accuracy of breast cancer.

关 键 词：乳腺肿瘤 误诊 X线征象 

分 类 号：R737.9[医药卫生—肿瘤]