乳腺B超2201例检查结果分析

目的：通过乳腺B超检查,做到“早预防、早发现、早诊断、早治疗”乳腺癌。方法（1）信息采集（2）乳腺B超检查：包括乳腺的临床检查及对可疑或异常情况进行下一步乳腺目靶检查。结果乳腺B超检查了2201例35岁～59岁妇女,其中1393例乳腺B超为1级;775例为2级,30例为3级,3例为4级。乳腺B超为3级和4级病例中经乳腺钼靶和病检证实：患乳腺癌3例。结论乳腺B超检查简单易行,无损伤,无痛苦,也不需要吃X线,检查时间也比较短,可以反复进行,可以有效地识别早期乳房癌,是一种既经济又方便的乳腺癌筛查方法。适龄女性应每月进行一次乳房检查,每年进行一次乳腺癌普查。如发现异常,及时就诊,做好二级预防工作。     

郑州市金水区花园路社区乳腺癌普查

目的了解本辖区妇女乳腺患病情况和相关因素，为预防保健提供依据。方法对1108名妇女进行体格检查，红外线扫描，乳腺彩超，钼靶摄片等检查。结果1108名妇女乳腺病总患病率54．06％，其中乳腺增生症51．8％，乳腺囊肿1．8％，乳腺纤维瘤0．27％，乳腺癌0．18％。结论定期开展乳腺癌普查，减少乳腺疾病和乳腺癌前病变发生发展，提高乳腺癌的检出率和生存率。     

江苏省仪征市25054例农村妇女乳腺癌筛查结果分析

目的通过筛查仪征市农村妇女乳腺癌患病情况以提高早期诊断率。方法对25 054例乳腺癌筛查的农村妇女进行乳腺临床检查、乳腺彩超、钼靶摄片检查、病理检查。结果参检中发现乳腺增生性病变是最常见的乳腺疾病,患病率为48.25%,乳腺癌16例,患病率为0.06%。结论乳腺癌筛查可及早发现无症状乳腺癌患者,应加大农村妇女乳腺癌普查力度,保护农村育龄妇女健康。     

2980例乳腺普查结果临床浅析

目的通过对门诊乳腺普查结果分析,指导临床乳腺疾病预防工作。方法采用一般触诊检查、红外线扫描检查对30～69岁共2980例妇女进行门诊乳腺普查,对高度倾向于乳腺癌病例采用乳腺钼靶X线及肿块病理活检检查。结果30～39岁组中乳腺增生与纤维腺瘤发病率与其余各组相比,差异具有统计学意义(P0.05),40～49岁组中乳腺癌发病率与其余各组相比,差异有统计学意义(P0.05)。结论宣传普及乳腺疾病防治知识,注意乳腺疾病防治的各年龄阶段重点。对于提高乳腺疾病,特别是乳腺癌的检出率具有积极意义。     

计算机摄影钼靶检查在乳腺癌普查中的应用

目的:探讨计算机摄影(CR)钼靶检查在大规模乳腺疾病普查中的应用价值,提高早期乳腺癌的诊断水平。方法:应用钼铑双靶乳腺机和带有计算机辅助诊断(CAD)软件的CR系统,对8270例普查对象进行乳腺摄影检查,回顾性分析检查结果,其中有手术或病理活检结果的414例。结果:手术或病理活检证实的414例中,乳腺癌59例,其中临床触诊阴性的早期乳腺癌19例。早期乳腺癌主要X线表现为单纯簇状细微钙化、小结节、局部结构不良和小斑片状致密影。结论:乳腺CR钼靶摄影结合CAD是较为可靠的影像学方法,对早期乳腺癌的诊断有价值,可以应用于大规模乳腺疾病普查中。     

乳腺疾病的钼靶摄影诊断价值(附40例分析)

目的提高乳腺钼靶摄影对早期乳腺癌的诊断水平。方法40例全部为女性病员,年龄27—70岁,平均45、4岁,均行乳腺钼靶X线摄影并经手术病理证实。结果术前乳腺钼靶摄影诊断乳腺癌15例,手术病理证实乳腺癌14例和乳腺良性肿瘤1例。术前乳腺钼靶摄影诊断良性肿瘤8例,术后病理报告纤维腺瘤6例、硬化性乳腺病1例及乳腺癌1例。术前乳腺钼靶摄影诊断乳腺小叶增生15例及阴性2例,术后病理证实小叶增生15例、潴留囊肿1例及乳腺癌1例。结论乳腺钼靶X线摄影数字成像是早期发现乳腺癌的首选检查方法,也可作为体检和普查使用,     

乳腺X线数字摄影中压力对辐射剂量的影响分析

目前,乳腺疾病呈上升趋势,需要做到早发现、早诊断、早治疗,以提高治愈率。乳腺X线数字钼靶摄片能更早地显示微小病变,特别是在乳腺癌早期筛查中,具有其他检查方法不可比拟的优越性。我国正常人群普查时,40岁以上妇女每年需做一次乳腺X线检查,所以降低受检者摄片过程中的辐射剂量是非常关键和重要的。     

乳腺疾病226例病理分型及钼靶诊断分析

目的：观察乳腺疾病的病理分型及钼靶对不同疾病的诊断价值。方法：回顾性分析我院近1 a内同时行乳腺病理检查和钼靶检查的226例患者,观察乳腺疾病的病理分型;评价钼靶检查的诊断价值。结果：226例中良性病变183例,乳腺恶性肿瘤43例。乳腺良性病变的钼靶诊断符合率是75.96%;乳癌的诊断中钼靶诊断的符合率为93.2%。结论：良性乳腺疾病纤维腺瘤为主,恶性肿瘤浸润性导管癌为主;钼靶对恶性疾病的诊断符合率较高,对良性疾病的诊断符合率低。     

中老年女性乳腺健康体检中钼靶X线、彩超作用分析

目的:比较钼靶X线与彩超在妇女乳腺健康体检中的应用效果。方法:选取2015年1月~2017年1月在我院行健康体检的中老年女性1 348人为观察对象,均给予彩色超声与钼靶X线检查,比较2种检查方法的乳腺病检出率及类型。结果:钼靶X线乳腺疾病检出率为27.52%;彩色超声乳腺疾病检出率为26.71%,两组比较差异无统计学意义(P>0.05)。结论:钼靶X线与彩色超声在妇女乳腺健康体检中均能很好地达到检查目的,实际使用中可根据自有条件分别选择。     

乳腺钼靶X线与乳腺超声检查对乳腺癌早期诊断效果比较

摘要 目的 比较乳腺钼靶X线与乳腺超声检查对乳腺癌早期诊断效果。方法 纳入2018年1月~2019年5月我院接诊的60例疑似乳腺癌患者进行研究。所有患者均接受乳腺钼靶X线检查和乳腺超声检查。比较两种检查方式诊断乳腺癌的效果以及对乳腺癌特征的检出情况。结果 乳腺钼靶X线诊断乳腺癌的敏感度和准确率均高于乳腺超声,差异显著（P＜0.05）;乳腺钼靶X线对乳腺癌钙化征的检出率高于乳腺超声,差异显著（P＜0.05）。结论 乳腺钼靶X线对乳腺癌早期诊断效果优于乳腺超声,可作为优选诊断手段。     

1502名社区女性钼靶筛查行为现状及影响因素研究The status and influencing factors of mammography screening behavior for 1502 women in community 陈乐英 吴怡颖 郁骐襄 沈坤炜 方琼*

目的 调查社区女性实施乳腺钼靶筛查行为的现状,并分析影响其实施的相关因素。方法 2012年对上海16个社区共1502名女性进行问卷调查。结果 调查中≥40岁的女性中,有544人（占49.5%）从未做过乳腺钼靶检查,仅有284人（占25.8%）每年参与乳腺钼靶检查;乳腺疾病史、是否有机会参加乳腺健康检查、是否知道乳腺自我检查方法、医院是否有专业检查人员及设备是重要影响因素（F=34.427 P＜0.001 R2=0.468）。结论 目前社区女性参与乳腺钼靶筛查行为处于较低水平,医护人员需要从其影响因素着手,探索并研究如何提高女性参与乳腺癌早期筛查率的方法。     

Early detection of breast cancer in women

Breast self-exam, clinical breast exam and mammography are the primary screening modalities for the early detection of breast cancer. In this article, we review the epidemiology of breast cancer and methodologic considerations in screening for breast cancer. For each screening modality, we assess the evidence for its effectiveness in reducing breast cancer mortality. For each modality we also discuss the limitations, cost/benefit considerations, utilization, and published recommendations for use. This article is intended to facilitate primary care providers in decision-making regarding the early detection of breast cancer.     

Diagnosis of early stage of breast cancer by mammography

The incidence of small breast carcinoma especially of non-palpable lesion is increasing after introduction of mammography screening. The tumor of which diameter is less than 2 cm, non invasive carcinoma, and Paget's disease are included in early stage of breast cancer. This article introduces the rate of early stage breast cancer in the mammography screening and the feature of these mammographic findings. Furthermore, we are going to reevaluate mammographical findings, occurrence of invasion, and evaluation the size of the lesion by mammography which are thought to be important for the diagnosis of early stage of breast cancer.     

提高乳腺X线摄影对致密型腺体乳腺癌检出率的方法探讨

乳腺X线检查在乳腺癌的筛查及早期诊断中具有重要价值。但对于致密型乳腺,乳腺X线检查假阴性率高,早期检出病灶困难,易延误患者的最佳诊疗时机,影响患者预后。本文旨在从提高乳腺X线摄片的质量、BI-RADS分类的应用、辅助手段检查的应用等方面,对提高乳腺X线摄影对致密型腺体乳腺癌检出率的方法进行综述。     

Comparison of breast mammography,sonography and physical examination for screening women at high risk of breast cancer in taiwan

Recommended surveillance for screening breast cancer, which includes regular mammography and clinical breast examination, has long been established in Western countries. This strategy may be too costly and unnecessary for countries with low incidences of breast cancer. The purpose of the present study is to compare breast mammography, sonography and physical examination in screening female relatives of breast cancer index cases from the hospital, and their relative efficiency. A total of 935 women over 35 years old, who were relatives of breast cancer patients, were invited to an annual screening by means of a combination of mammography, sonography and physical examination on a single day. A biopsy was performed when any of the three investigations indicated a possibility of malignancy. A total of 21 breast cancers, including sixteen invasive cancers and 5 noninvasive cancers, were detected among the 935 high-risk women. Of the cancers, 18, including 16 invasive cancers and 3 noninvasive cancers, were detected by sonography. In contrast, only 11 invasive cancers were detected by mammography, and 7 by physical examination. There were only 14 cancers detected by a combination of mammography and physical examination. The 7 (33.3%) additional cancers were detected when sonography was added. The sensitivity of sonography was 90.4%, which was higher than mammography (52.4%) and physical examination (33.3%), or even a combination of these two modalities (66.7%). This indicates that sonography is a more accurate screening tool for breast cancer in the high-risk group. Although breast sonography has not yet been recommended as a routine screening tool for breast cancer in Western countries, it may be superior to mammography and physical examination for the screening of Taiwanese high-risk female relatives of breast cancer index cases. If it should also be considered as a routine adjunct screening modality for Taiwanese women with lower rates of breast cancer will need further study.     

磁共振成像在乳腺癌影像学筛查中的应用:2010ACR与SBI乳腺影像学筛查实践指南解读

影像学能够在临床出现可触及肿块之前早期发现乳腺癌已经成为不争的事实.在多种影像学检查中,乳腺X线摄影是惟一被偱证研究证实的能够早期发现乳腺癌而降低死亡率的影像学方法,但由于存在局限性,因而近年来大量临床研究致力于评估乳腺磁共振成像及乳腺超声在乳腺癌筛查中应用的可行性和效能.为进一步提高乳腺癌早期检出率,乳腺癌筛查方案日...     

Screening mammography: increasing the effort toward breast cancer detection

Mammography is the only modality with the potential for detecting a breast cancer while it is non-palpable and at a stage of high curability. Early detection of breast cancer is important because survival is directly related to tumor size and lymph node status, and prognosis is best for small lesions without axillary node metastasis. Many studies have indicated that screening mammography is tremendously underused. This article focuses on the effectiveness of mammography and the importance of detecting a breast cancer at an early stage. Health care providers have a responsibility to inform their clients about the benefits of mammography. In addition, women need to be taught breast self-examination and undergo regular clinical breast examinations by a health care professional. The American Cancer Society guidelines for screening breast cancer are given.     

ROC分析法评价超声与钼靶摄影术在乳腺癌筛查和早期诊断中的价值

目的 用受试者工作特征曲线(ROC)分析法评价超声与钼靶摄影术在乳腺癌筛查和早期诊断中的价值.方法 采用X线钼靶、超声和二者联合的3种检测方法 对66例乳腺肿块患者的影像资料进行观察,并根据乳腺病灶的大小、形态、边缘、包膜、内部回声、后方回声以及有无微钙化灶等特征,做出影像学的诊断,以手术病理诊断为金标准.按完全肯定良性、可能良性、不确定、可能恶性、肯定恶性5个诊断精度,分别作出3种影像方法 诊断的乳腺肿块良恶性的ROC分析评价.结果 ROC评价显示钼靶和超声联合应用的ROC曲线比其他两条曲线更偏左上角,其曲线下面积为两者联合(0.967)>超声(0.886)>钼靶 (0.856).两者联合运用对乳腺肿块良恶性诊断较钼靶或超声单独运用准确(P<0.05), 且钼靶与超声检查间无明显差异(P>0.05).结论 超声和钼靶摄影术在乳腺癌筛查和早期诊断中有一定的价值,两者联合运用优于单独检查.     

Breast cancer screening and problem solving using mammography, ultrasound, and magnetic resonance imaging

Although mammography is the mainstay of early breast cancer detection, it has known limitations, particularly in women with dense breasts. As a result, additional imaging modalities, including ultrasound and contrast-enhanced magnetic resonance imaging, are also being used to supplement mammography in the early detection of occult breast cancer. This article reviews the indications and efficacy of mammography, ultrasound, and magnetic resonance imaging as both screening and diagnostic tools.