乳腺肿块型癌与非肿块型癌的MRI、钼靶及超声差异分析  

Analysis of MRI,Mammography and Ultrasound Findings Between Mass and Non-mass Type Breast Cancer

作　　者：许晓亮[1] 李新瑜[1] 李明霞[1] XU Xiaoliang;LI Xinyu;LI Mingxia(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,471000)

机构地区：[1]河南科技大学第一附属医院,471000

出　　处：《实用癌症杂志》2022年第2期319-322,共4页The Practical Journal of Cancer

基　　金：2018年度河南省医学科技攻关计划项目(编号:2018020984)。

摘　　要：目的分析乳腺肿块型癌与非肿块型癌的MRI、钼靶及超声差异。方法选取70例乳腺癌患者,术前均进行MRI、钼靶、超声检查,术后进行病理组织检查。比较MRI、X线钼靶、超声三种检查方式的图像表现、对病灶的敏感性及与病理诊断的符合率。结果 3种检查方式对肿块、微小病灶的敏感性无显著差异(P>0.05)。X线钼靶、超声检查对钙化敏感性高于MRI(P<0.05),MRI、超声检查对肿块内部结构敏感性高于X线钼靶(P<0.05)。经病理检查证实非肿块型31例,肿块型39例。MRI非肿块型与肿块型符合率分别为64.52%、79.49%,X线钼靶符合率分别为80.65%、76.92%,超声符合率分别为77.42%、74.36%。结论 MRI、钼靶与超声对乳腺癌诊断各有优势和不足,临床可根据情况进行联合检查以避免误诊漏诊情况。Objective To analyze the differences of MRI,mammography and ultrasound findings between mass and non-mass type breast cancer.Methods 70 patients with breast cancer were enrolled.MRI,mammography and ultrasound examinations were preformed on all patients before operation.Then the image findings, diagnostic sensitivity and diagnostic coincidence rate of the three methods were compared.Results The sensitivity of the three examination methods to masses and small lesions had no significant difference(P>0.05).The sensitivity of X-ray mammography and ultrasound to calcification of lesion was higher than that of MRI(P<0.05),and the sensitivity of MRI and ultrasound to the internal structure of the mass was higher than that of X-ray mammography(P<0.05).Pathological examination confirmed 31 cases of non mass type and 39 cases of mass type.MRI diagnosed 28 cases of non mass type, 42 cases of mass type;X-ray molybdenum target diagnosed 34 cases of non mass type, 36 cases of mass type;ultrasound diagnosed 29 cases of non mass type, 41 cases of mass type.The coincidence rates of MRI non mass type and mass type were 64.52% and 79.49% respectively.The coincidence rates of mammography were 80.65% and 76.92% respectively.The coincidence rates of ultrasound were 77.42% and 74.36% respectively.Conclusion In the diagnosis of breast cancer, MRI,mammography and ultrasound have their own advantages and disadvantages, the combined examination is recommended in clinical examination to avoid misdiagnosis and missed diagnosis.

关 键 词：乳腺癌 肿块型 非肿块型 MRI 钼靶 超声 

分 类 号：R737.9[医药卫生—肿瘤]