| 触诊阴性乳腺病灶的诊断与治疗 |
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| 引用本文： | 张宏艳,梁峰,贾志凌,矫健,彭雁,于忠和.触诊阴性乳腺病灶的诊断与治疗[J].中国现代医学杂志,2008,18(23):3517-3519. |
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| 作者姓名： | 张宏艳 梁峰 贾志凌 矫健 彭雁 于忠和 |
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| 作者单位： | 1. 北京军区总医院肿瘤科,北京,100039
2. 解放军307医院外一科,北京,100071 |
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| 摘 要： | 目的 探讨乳腺钼靶、超声定位活检对临床触诊阴性乳腺病灶的应用价值,分析触诊阴性乳腺癌的诊断与治疗方法.方法 回顾性分析77例触诊阴性乳腺病例(87个病灶)的临床资料.结合定位活检病理结果,总结影像学的诊断特点和诊断价值.结果 全组87个乳腺病灶中乳腺癌20个(20例病例),占23.0%(20/87),良性病灶67个(57个),占77.0%(67/87).恶性病例的年龄明显高于良性病例,钼靶摄片诊断触诊阴性乳腺病灶的灵敏度、特异度和准确度均优于乳腺超声检查.20例乳腺癌采用超声或钼靶引导下的金属丝定位活捡,保乳手术率达55.0%(11/20).95.0%(19/20)触诊阴性乳腺癌为0～Ⅰ期的早期乳腺癌.钼靶摄片、乳腺超声诊断触诊阴性乳癌阳性率分别为75.0%(15/20)和55.0%(11/20).其主要影像学特点是恶性钙化和边界不清的小肿物,分别占诊断阳性病例的66.7%(10/15)和54.5%(6/11).结论 触诊阴性乳腺病灶的钼靶和超声定位活检在触诊阴性乳腺癌的早发现、早诊断和早治疗中起到重要的作用,其中,钼靶检查更为重要.
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| 关 键 词： | 触诊阴性乳腺癌 超声 钼靶 金属丝定位 活检 |
Diagnosis and treatment of 87 nonpalpable breast lesions |
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| ZHANG Hong-yan
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LIANG Feng
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JIA Zhi-ling
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JIAO Jian
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PENG Yan
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YU Zhong-he.Diagnosis and treatment of 87 nonpalpable breast lesions[J].China Journal of Modern Medicine,2008,18(23):3517-3519. |
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| Authors: | ZHANG Hong-yan LIANG Feng JIA Zhi-ling JIAO Jian PENG Yan YU Zhong-he |
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| Institution: | ZHANG Hong-yan1,LIANG Feng2,JIA Zhi-ling1,JIAO Jian1,PENG Yan1,YU Zhong-he1(1.Department of Oncology,General Military Hospital of Beijing Comm,,Beijing 100700,P.R. China,2. Department of General Surgery,the 307 Hospital of PLA,Beijing 100071,P.R.China) |
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| Abstract: | ObjectiveTo approach the value of localized biopsy with mammography and sonography in the diagnosis and treatment of nonpalpable breast lesions(NPBLs) ,to analyze the diagnosis and treatment methods of nonpalpable breast cancer(NPBC) . MethodsThe clinical data of 87 NPBLs from a 77 women were analyzed retrospectively. The feature and the value of imaging diagnosis were summarized,combined with the pathological results of localized biopsy. ResultsIn 87 NPBLs,20 lesions 23%(20/87) in 20 patients breast lesion... |
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| Keywords: | nonpalpable breast lesions sonography mammography wire localization biopsy |
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