触诊阴性乳腺癌的影像与病理

<正>医学影像技术及定位技术的飞速发展,一些临床触诊阴性的乳腺癌被发现。文献报道,约20%的乳腺癌为触诊阴性~[1]。本文通过这些触诊阴性的乳腺癌病例,从临床角度分析此类乳腺癌的影像特点、与病理的关系以及乳腺X线、超声在诊断中的作用,报道如下。1资料与方法1.1临床资料收集我院2011年以来临床触诊阴

The imaging and pathology of non-palpable breast carcinoma

Objective: To explore feature of mammography, ultrasound and pathology of non-palpable breast carcinoma, to identify diagnostic effect of mammography and ultrasound. Method: Calculate sensitivity of mammography and ultrasound, analyse relationship between imaging and pathology through 97 lesions in 96 patients. Result:For non-palpable breast carcinoma, sensitivity of mammography was 62.4%(58/93), sensitivity of ultrasound 52.7%(49/93), sensitivity of mammography and ultrasound was 87.1%(81/93) We found calcification 74.1%(43/58)by mammography, most of them were carcinoma in situ 65.1%(28/43);We also found nodus or mass 15.5%(9/58) by mammography ,most of them were invasive carcinoma 77.8%(7/9).We found hypoechoic nodule 55.1%(27/49)by ultrasound, most of them were invasive carcinoma 66.7%(18/27);We also found hypoechoic region 36.7%(18/49) by ultrasound, most of them were carcinoma in situ 77.8%(14/18).Conclusion: We could find 87.1% of non-palpable breast carcinoma by combination of mammography and ultrasound. The pathology of the non-palpable breast carcinoma was related to the image of them. Throught mammography , ultrasound and physical examination could find more earlier non-palpable breast carcinoma.