乳腺癌麦默通微创旋切术前超声漏诊原因分析  

Cause of preoperative ultrasound misdiagnosis of breast cancer treated with Mammotome

作　　者：吴美兰 徐晓红 黄星 刘尔球 邓益菁 戴海霞 WU Mei-lan;XU Xiao-hong;HUANG Xing;LIU Er-qiu;DENG Yi-qing;DAI Hai-xia(Department of Ultrasound,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China)

机构地区：[1]广东医科大学附属医院超声科,广东湛江524001

出　　处：《广东医科大学学报》2021年第1期99-101,共3页Journal of Guangdong Medical University

摘　　要：目的分析乳腺癌麦默通微创旋切术前超声漏诊原因。方法收集104例(142个癌灶)乳腺癌患者的临床、病理及超声资料,比较术前漏诊(漏诊组)及诊断正确者(诊断正确组)这些资料的差异。结果 142个癌灶中,33个(23.2%)漏诊。漏诊组患者年龄小于诊断正确组(P<0.05);两组病理类型及癌灶形状、边缘、方位、内部回声均匀性、内部钙化、后方回声特征、血流分级的差异有统计学意义(P<0.05),而癌灶数量、位置及回声模式差异无统计学意义(P>0.05)。结论麦默通微创旋切术前超声漏诊的乳腺癌多为原位癌,年龄较小,癌灶多表现为形状规则、边缘光整、水平位、内部回声均匀、内部无钙化、后方无改变或血流较少。Objective To analyze the cause of preoperative ultrasound misdiagnosis of breast cancer treated with Mammotome.Methods Clinical,pathological and ultrasound data of 104 patients with breast cancer(142 tumors)were collected.The differences of these data were compared between misdiagnosis and diagnosis groups.Results Of 142 tumors,33(23.2%)were misdiagnosed.The diagnostic age was lower in misdiagnosis group than in diagnosis group(P<0.05).The pathological typing and tumor shape,edge,orientation,internal echo uniformity,internal calcification,posterior echo characteristics and blood flow classification were statistically different(P<0.05),whereas the tumor number,location and echo pattern was comparable between two groups(P>0.05).Conclusion The preoperative ultrasound misdiagnosis of breast cancer with Mammotome often occurs in younger patients with carcinoma in situ,with regular shape,smooth edge,horizontal position,uniform internal echo,least calcification,no posterior change and less blood flow.

关 键 词：超声 麦默通微创旋切术 乳腺癌 漏诊 

分 类 号：R455.1[医药卫生—运动医学]