T1乳腺癌无创伤诊断方法评价

目的探讨T1乳腺癌诊断中无创伤诊断方法的综合应用价值.方法对95例T1乳腺癌临床资料和术后病理组织学所见进行回顾性总结和分析,探讨视、触诊和X线片,超声波对T1乳腺癌的诊断能力,以及影响各种检查方法诊断率的临床及病理学因素.结果T1乳腺癌95例中经穿刺活检诊断79例,非活检方法诊断16例.后者年龄偏高,平均58 5岁,70岁以上占19%,肿瘤＞15mm者占75%,其主要诊断依据为乳房触诊肿块表面粗糙(81%)、皮肤凹陷(50%)、推动受限(62%);X线片中不规则阴影(94%)、边缘毛刺(81%)、成簇细小钙化(25%);超声图像中肿瘤边缘不整(100%)、内部回声不均(67%)等.结论一些具有比较典型恶性症状的小于2cm乳腺癌可以避免术前的侵袭性活检方法而直接通过视、触诊结合X线摄影、超声波等非侵入性检查方法的综合判断进行诊断.

Diagnostic value of nonbiopsy methods in T1 breast cancer

Objective To discuss the diagnostic value of nonbiopsy methods in T 1 breast cancer.Methods The clinical data and postoperative pathological histologic diagnose of T 1 breast cancer were retrospectively summarized and analyzed.To discuss the diagnostic value of inspection,palpation,X-ray,and ultrasonography in T 1 breast cancer and the influence factor of the clinical and pathological factor.Results Nighty five T 1 breast cancer patients were examined;seventy nine cases were diagnosed by biopsy and sixteen were by nonbiopsy.In non-biopsy group,the patients age were older (average 58.5 years old)and 19 percent of them were more than 70 years old.The breast lump larger than 15 millimeter were 75 percent. The malignant diagnose were depend on the lump surface uneven(81 percent),skin dimpling(50 percent),movement limitation(62 percent) and anomalous shadow(94 percent),irregular lump border(81 percent),small deposits of calcium in tissue(25 percent)in X-ray and irregular tumor border(100 percent),uneven internal echo in ultrasound.Conclusion Some of the T 1 breast cancer with typical malignant character can be diagnosed directly by non-invasive methods whioch involve the inspection,palpation,X-ray,ultrasonography and so on,not need the invasive biopsy method.