乳腺微钙化钼靶与MRI表现误漏诊分析  

Mammography and MRI Features of Breast Microcalcification Misdiagnosis and Missed Diagnosis Analysis

作　　者：苏佳娜 陈忠[1] 陈泽文[1] 梁长松[1] 周宏[1] 李云辉[1] Su Jiana;Chen Zhong;Chen Zewen;Liang Zhangsong;Zhou Hong;Li Yunhui(People's Hospital of Xinhui District,Jiangmen,Jiangmen,Guangdong 529100)

机构地区：[1]江门市新会区人民医院

出　　处：《现代医用影像学》2019年第11期2410-2412,共3页Modern Medical Imageology

摘　　要：目的:通过钼靶与MRI表现对照分析,在钼靶已经检测出的微小钙化的患者中,能否在MRI找到一致性异常信号区,全面评估病灶,减少误诊、漏诊,为临床提供手术精准依据,指导治疗方式。方法:回顾性分析45例经病理证实的先行乳腺钼靶检测出微小钙化,再行MRI检查的患者资料。结果:乳腺钼靶及MRI检查发现:一致性位置上发现异常信号区(包括平扫、增强)40例,位置完全一致30例(8例为高级别导管原位癌,3例中高级别导管原位癌伴有微浸润;12例为浸润性乳腺癌,7例为普通型乳腺增生症),位置范围较大8例(浸润性乳腺癌6例,广泛性原位癌2例),多个位置2例(多发原位癌1例,多发浸润性乳腺癌1例)),未见异常信号区5例(非典型增生1例,原位癌2例,乳腺普通型增生伴腺病趋势2例)。结论:在乳腺微小钙化病灶,结合钼靶及MRI检查,可较全面明确病灶性质、范围、数量,有助于避免漏诊和误诊,指导患者的治疗方式选择及能提高乳腺癌患者的生活质量。Objective: By mammography and MRIcontrast analysis, molybdenum target has been detected in the tiny calcification in patients, can find consistency in MRI abnormal signal area, a comprehensive assessment of lesions, reduce misdiagnosis and missed diagnosis, accurate basis for clinical surgery, to guide treatment. Methods:45 cases confirmed by pathology were retrospectively analyzed mammary gland. RI findings of breast Abnormal signal areas(including plain scan and enhancement) were found in the consistent position in 40 cases, and the positions were commolybdenum target detect tiny calcification, again MRI data of patients.results: Mammography and Mpletely consistent in 30 cases(8 cases were high-grade ductal carcinoma in situ, and 3 cases were medium-grade ductal carcinoma in situ with microinvasion. 12 cases of invasive breast cancer, 7 cases of normal mammary gland hyperplasia), where large 8 cases,( 6 cases of invasive breast cancer, extensive in situ carcinoma 2 cases), 2 cases of multiple position(multiple carcinoma in situ in 1 case, multiple invasive breast cancer, 1), no abnormal signal area in 5 cases(atypical hyperplasia in 1 case, 2 cases were carcinoma in situ, mammary gland hyperplasia of normal with adenosis trend in 2 cases).Conclution: combined with molybdenum target and MRI examination, the nature, scope and quantity of microscopic calcified breast lesions can be comprehensively defined, which is helpful to avoid missed diagnosis and misdiagnosis, guide patients to choose treatment methods and improve the quality of life of breast cancer patients.

关 键 词：乳腺微小钙化 乳腺钼靶摄影 磁共振 漏诊和误诊 

分 类 号：R73[医药卫生—肿瘤]