乳腺DR在农村地区对触诊阴性乳腺癌的诊断价值

目的：探讨乳腺 DR 检查在农村地区触诊阴性乳腺癌检出中的作用。方法随机选取2012年本院13700例来院检查的当地妇女中的6754例，不论临床医生是否触及肿块(年龄30~83岁)，均进行乳腺 X 线检查。结果6754例 X 线检查报告中，考虑乳腺癌72例(72/6754)，其中临床触诊阳性乳腺癌患者59例(59/72)，临床触诊阴性乳腺癌患者13例(13/72)，年龄在35~77岁之间(临床触诊阴性患者)。临床触诊阴性乳腺癌病理所见原位癌6例、导管内癌3例、浸润性导管癌4例。结论乳腺 X 线检查利于较早发现临床触诊阴性乳腺癌，提高乳腺癌的早期诊断率。

The value of digital mammography in detection of the negative palpable breast cancer in rural areas

Objective To explore the value of digital mammography in diagnosis of the negative palpable breast cancer in rural ar-eas.Methods 6 754 women randomly selected among 13 700 female outpatients (range,30-83 years)in rural areas underwent dig-ital mammography no matter they had breast palpable masses or not.Results 72 cases with breast cancer were diagnosed by digital mammography (72/6 754).Clinical palpation showed positive in 59 cases (59/72)and negative in 13 cases (13/72)with aged 35-77 years.Among 13 cases with negative palpable breast cancer,6 cases were carcinomas in situ,3 cases were intraductal carcinomas,and 4 cases were infiltrating ductal carcinomas.Conclusion Digital mammography may help in detection of the negative palpable breast cancer in early time.