X线摄影和超声检查对早期乳腺癌诊断的价值

目的:探讨单独与联合应用X线乳腺摄影(MMG)及彩色多谱勒超声(US)检查对于早期乳腺癌的诊断价值.方法:收集27例经病理证实的早期乳腺癌(病灶直径≤20mm)病例,回顾性分析经单独采用MMG或US检查以及两者联合应用对于诊断结果的准确程度.结果:X线乳腺摄影及彩色多谱勒超声单项检查对早期乳腺癌的检出率无明显差异(均为85.2%),而联合应用X线乳腺摄影及超声检查对早期乳腺癌的检出率(92.6%)明显优于单项检查的检出率(85.2%),两者检出率的差别无统计学意义(P>0.05).结论:X线乳腺摄影和彩色多谱勒超声联合检查综合诊断可明显降低早期乳腺癌的漏诊率.

Value of Mammography and Color Doppler Ultrasound in Diagnosis of Early Breast Cancer

Purpose: To study the diagnostic value of mammography (MMG) and color doppler ultrasound (US) in early breast cancer and to evaluate the diagnostic accuracy. Methods: Twenty- seven pathology proven cases of early breast cancer were enrolled in this study. All patients had undergone mammography and ultrasonography, and the imaging findings were classified as positive or negative. Results: The de-tectable rate of mammography and ultrasonography in the early breast cancer had no significant statistical difference. Whereas the detectable rate of the combination of ultrasonography with mammography was 92.6%, which was higher than those of the single use of mammography or ultrasonography(85.2%), the detectable rate had no difference(P > 0.05). Conclusion: The combination of ultrasonography with mam-mography can obviously reduce the rate of miss diagnosis of early breast cancer. It is an effective tech-nique that should be used to evaluate patients with suspected cancer.