我院乳腺病变MRI漏诊误诊病例的影像学表现  

Imaging Findings of MRI Missed Diagnosis of Breast Lesions in Our Hospital

作　　者：曾斐[1] 伍忠根[1] 简昊[1] 

机构地区：[1]江西省吉安市中心人民医院,江西吉安343000

出　　处：《中国医学创新》2015年第36期56-58,共3页Medical Innovation of China

基　　金：江西省自然(青年)科学基金资助项目(20122BAB215042)

摘　　要：目的:探讨本院MRI漏诊误诊病例的影像学表现。方法:选取2013年1月-2015年8月在本院行MRI检查的58例疑似乳腺病变患者为研究对象,并对漏诊误诊的2例患者MRI资料进行回顾性分析。结果:58例行MRI检查的疑似乳腺病变患者,MRI诊断错误2例,诊断准确56例,诊断准确率为96.43%。诊断错误为2例男性患者,分别为:纤维胶原组织增生伴炎细胞浸润误诊为乳腺癌;男性乳腺发育误诊为乳腺癌。结论:MRI对于检出乳腺癌具有较大优势,针对MRI不能确定而又有怀疑征象的患者,病理活检仍是确诊的金标准。男性乳腺病变MRI误诊率较高,需要引起关注。Objective： To investigate the imaging features of MRI missed diagnosis cases of breast lesions in our hospital. Method： 58 patients with suspected breast lesions who the MRI examination were selected as the research objects in our hospital from January 2013 to August 2015. MRI data of 2 cases of missed diagnosis were retrospectively analyzed. Result： 58 patients with suspected breast lesions underwent MRI examination. Among them, 56 cases were diagnosed correctly by MRI, the accuracy rate was 96.43%. Diagnosis error had 2 male patients, which were： fibrous collagen hyperplasia with inflammatory cell infiltration, misdiagnosed as breast cancer. Male breast development, misdiagnosed as breast cancer. Conclusion： MRI has great advantages for the detection of breast cancer. For MRI can not be determined, and there are suspected signs of patients, pathological biopsy is still the gold standard of diagnosis. The misdiagnosis rate of MRI in male breast lesions is high, which needs attention.

关 键 词：乳腺病变 MRI 漏诊误诊 病理活检 

分 类 号：R445.2[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学] R737.9[医药卫生—临床医学]