探讨全数字化乳腺摄影术前诊断叶状肿瘤对病理诊断及手术治疗的指导意义

目的：探讨全数字化乳腺摄影诊断叶状肿瘤对病理诊断及手术治疗的指导意义。方法：回顾对比分析经钼靶拍片怀疑为乳腺叶状肿瘤的13例病例的手术结果，主要分析术前诊断叶状肿瘤的重要性。结果：13例经数字化乳腺钼靶片怀疑乳腺叶状肿瘤的病例，术后病理证实为叶状肿瘤的为8例，诊断率为61．5％（8/13），误诊率为38．5％（5/13），误诊患者术后病理证实为纤维腺瘤4例，乳腺癌1例。结论：对病变认识不够、临床触诊、问诊不够仔细，乳腺纤维腺瘤和叶状肿瘤在数字化钼靶片上诊断和鉴别困难时造成漏诊和误诊的主要原因，影像诊断医师应熟练掌握乳腺病变诊断和鉴别诊断要点，不断总结经验和教训，紧密加强与临床的联系，不断提高诊断准确率，以提示临床手术医师和病理诊断医师做好鉴别诊断，保证手术方式准确，达到彻底切除叶状肿瘤的目的。

Discussion about diagnosis phyllodes tumor with digital moylbdemum X-ray photography

Objective：To summarize the accuracy rate of diagnosis phyllodes tumor with digital molybdemum X -ray photography and re-duce the rate of misdiagnose .Methods：To compare 13 phyllodes tumors patients＇digital molybdemum X -ray photography result , analysis the reason of misdiagnose .Results：All patients accepted operation treatment , digital molybdemum X-ray photography diagnose phyllodes tumor rate was 61.5%（8/13）t,he rate of misdianose was 38.5%（5/13）, main was fibroadenoma and cancer was missed diagnosis .Conclu-sion：The main reason of misdiagnose phyllodes tumor they were difficult to predict biologic behavior based on clinical features .Roentgenolo-gist should master the way of diagnose PT ,to prompt the surgeon and junior pathologists take a right way to diagnosis and therapy .