乳腺癌钼靶X线误诊分析

目的 :分析乳腺癌X线钼靶摄片误诊病例的影像特点以降低误诊率。方法 :回顾近 2年来X线诊断后行乳腺手术并经病理证实的 15例误诊病例。结果 :15例中 9例良性误诊为恶性 ,误诊率为 10 6 % ,6例恶性误诊为良性 ,误诊率为 9 7%。其中乳腺炎性变易与乳腺癌相混淆 ,本组有 7例 ,占 46 7%。结论 :浆细胞乳腺炎极易误诊为乳腺癌 ,乳腺X线片上仅显示圆形肿块的单纯癌易误诊为纤维腺瘤 ,而浸润性导管癌容易漏诊 ,但是认真分析X线征象 ,详细了解病史 ,亲自查体 ,结合穿刺活检可以明显减少误诊。

Analysis on misdiagnostic cases of breast carcinoma diagnosed by mammography

To analyse the features of mammogram by molybdic target roentgenography in misdiagnostic cases.Methods:15 misdiagnostic cases of breast disease diagnosed by mammogram and comfirmed by operation and pathology were reviewed.Result:Of 15 Misdiagnostic cases,9 benign cases were misdiagnosed as malignant cases,the tate of misdiagnosis was 10.6%,6 malignant cases were misdiagnosed as benign cases,the tate of misdiagnosis was 9.7%.Mammitis is apt to be confused with a breast carcinoma,Ti is made up 46^7%.Conclusion:A plasma cell mastitis is apt to be misdiagnosed as a fibro-adenoma,An infiltrating ductal carcinoma is easily escaped detection.However,to careful analyse X-ray signs,to physical exemine by yourself and combine needle biopsy will reduce misdiagnosis.