| 超声及钼靶X线对乳腺导管内癌与乳腺浸润性导管癌的诊断价值 |
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| 引用本文： | 孙 琳1,孙晓枫1,王 卉2,杨顺实1. 超声及钼靶X线对乳腺导管内癌与乳腺浸润性导管癌的诊断价值[J]. 现代肿瘤医学, 2019, 0(22): 4089-4093. DOI: 10.3969/j.issn.1672-4992.2019.22.036 |
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| 作者姓名： | 孙 琳1 孙晓枫1 王 卉2 杨顺实1 |
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| 作者单位： | 1.武汉市中心医院超声影像科；2.影像诊断科，湖北 武汉 430014 |
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| 摘 要： | 目的:探讨乳腺导管内癌（ductal caicinoma in situ,DCIS）与乳腺浸润性导管癌（invasive ductal carcinoma，IDC）的超声及钼靶X线影像特征差异。方法:回顾性分析160例患者（包括62例DCIS患者及98例IDC患者）的超声及钼靶X线资料。结果:161个乳腺病灶中，有62个DCIS病灶（DCIS组）及99个IDC病灶（IDC组）。超声对IDC组病灶的检出率明显高于DCIS组，两组间的检出率有统计学意义（P＜0.05）；两组间病灶超声表现中形状、边界、边缘特征及血流信号差异有统计学意义（P＜0.05）。钼靶X线在两组病灶检出率差异有统计学意义（P＜0.05）；两组间病灶钼靶X线表现形状及边缘特征的例数差异有统计学意义（P＜0.05）。对于DCIS组，超声及钼靶X线病灶的检出率差异有统计学意义（P＜0.05）；在病灶边缘及乳腺腺体内钙化检出率这些方面，两种方法有统计学意义（P＜0.05）。结论:乳腺钼靶X线对DCIS腺体内钙化灶诊断率较高，乳腺超声对DCIS病灶检出、病灶边缘特征显示具有诊断优势。
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| 关 键 词： | 超声检查 钼靶X线摄影 乳腺导管内癌 乳腺浸润性导管癌 |
Value of ultrasonography and mammography in diagnosis of breast ductal carcinoma in situ and breast invasive ductal carcinoma |
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| Sun Lin1,Sun Xiaofeng1,Wang Hui2,Yang Shunshi1. Value of ultrasonography and mammography in diagnosis of breast ductal carcinoma in situ and breast invasive ductal carcinoma[J]. Journal of Modern Oncology, 2019, 0(22): 4089-4093. DOI: 10.3969/j.issn.1672-4992.2019.22.036 |
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| Authors: | Sun Lin1 Sun Xiaofeng1 Wang Hui2 Yang Shunshi1 |
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| Affiliation: | 1.Department of Ultrasound;2.Department of Radiology,Central Hospital of Wuhan,Hubei Wuhan 430014,China. |
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| Abstract: | Objective:To explore the differences of ultrasonic data and mammography data between DCIS and IDC.Methods:The ultrasound data and mammography data of 160 patients (included 62 DCIS and 98 IDC) were retrospectively analyzed and compared.Results:There were 62 lesions of DCIS (DCIS group),99 lesions of IDC (IDC group).The detection rate of ultrasound in IDC group lesions was significantly higher than it in DCIS group(P＜0.05).On ultrasonography,there were significant differences of tumor sharp,border,margin and Adler flow grade between the DCIS and IDC group(P＜0.05).The detection rate of mammography in IDC group lesions was significantly higher than it in DCIS group(P＜0.05).On mammography,there were significant differences of tumor sharp and margin between the DCIS and IDC group(P＜0.05).In DCIS group,the detection rate of ultrasound was significantly higher than mammography（P＜0.05）.There were significant differences of tumor margin and calcification between the two methods(P＜0.05).Conclusion:Mammography is superior to ultrasound in detection of calcifications.However,ultrasound can improve the accuracy of identification and characterization of the lesion in DCIS. |
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| Keywords: | ultrasonography mammography breast ductal carcinoma in situ breast invasive ductal carcinoma |
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