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乳腺X 线及超声影像诊断乳腺癌的优势及不足
引用本文:张立娜,黎庶,郑新宇,徐克. 乳腺X 线及超声影像诊断乳腺癌的优势及不足[J]. 中国医科大学学报, 2010, 0(6): 485-486
作者姓名:张立娜  黎庶  郑新宇  徐克
作者单位:张立娜 (中国医科大学附属第一医院放射科,沈阳,110001) ; 黎庶 (中国医科大学附属第一医院放射科,沈阳,110001) ; 郑新宇 (中国医科大学附属第一医院乳腺外科,沈阳,110001) ; 徐克 (中国医科大学附属第一医院放射科,沈阳,110001) ;
摘    要: 目的探讨乳腺X线及超声对乳腺癌诊断的优势及不足。方法乳腺癌女性84 例,术前均行乳腺X线检查,69 例同时
超声检查。结果84 例病例在X线上共表现为84 个病灶。13 例直径小于2 cm 的肿块,超声最低诊断为3 级(2 例)。11例钙
化超声诊断2级及3级各1例。6例结构扭曲超声检查只回报1 例5级,余为2、3 级。以上X线全部诊断为4级以上。结论X
线对于表现为结构纠集和单纯钙化的病例诊断有优势。但两者对于直径小于2 cm 的单纯肿块都存在诊断不足的问题。

关 键 词:乳腺癌  X线  超声

Advantages and Disadvantages of the X-ray and Ultrasound Examination for Breast Cancer Diagnosis
Affiliation:1. Department of Radiology;2. Department of Breast Surgery,The First Affiliated Hospital,China Medical University,Shenyang,110001,China
Abstract:Objective To discuss the advantages and disadvantages of the mammography and ultrasound examination for breast cancer di-
agnosis. Methods Totally 84 breast cancer patients enrolled in our study. All of the patients underwent mammography before surgery,and
69 of them received both mammography and ultrasound examination. The data were studied retrospectively. Results 84 foci were found to-
tally on mammography and were all diagnosed above ACR BIRAD grade 4 by X-ray . Two of the 13 cases smaller than 2 cm in diameter
were diagnosed as grade 3 by ultrasound. Eleven cases with microcalcification were diagnosed as grade 2(1case)and 3(1case)by ultra-
sound. Only 1 of the 6 cases shown as distortion was diagnosed as 5 by ultrasound. Conclusion X-ray has the superiority to ultrasound for
distortion and microcalcification. For the mass smaller than 2 cm in diameter,both of X-ray and ultrasound may underestimate.
Keywords:breast cancer  X-ray  ultrasound
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