我院乳腺病变MRI漏诊误诊病例的影像学表现.docVIP

我院乳腺病变MRI漏诊误诊病例的影像学表现 　　【摘要】 目的：探讨本院MRI漏诊误诊病例的影像学表现。方法：选取2013年1月-2015年8月在本院行MRI检查的58例疑似乳腺病变患者为研究对象，并对漏诊误诊的2例患者MRI资料进行回顾性分析。结果：58例行MRI检查的疑似乳腺病变患者，MRI诊断错误2例，诊断准确56例，诊断准确率为96.43%。诊断错误为2例男性患者，分别为：纤维胶原组织增生伴炎细胞浸润误诊为乳腺癌；男性乳腺发育误诊为乳腺癌。结论：MRI对于检出乳腺癌具有较大优势，针对MRI不能确定而又有怀疑征象的患者，病理活检仍是确诊的金标准。男性乳腺病变MRI误诊率较高，需要引起关注。 中国论文网 /6/view-7245997.htm 　　【关键词】 乳腺病变； MRI； 漏诊误诊； 病理活检 　　Imaging Findings of MRI Missed Diagnosis of Breast Lesions in Our Hospital/ZENG Fei， WU Zhong-gen， JIAN Hao.//Medical Innovation of China，2015，12（36）：056-058 　　【Abstract】 Objective：To investigate the imaging features of MRI missed diagnosis cases of breast lesions in our hospital. Method： 58 patients with suspected breast lesions who the MRI examination were selected as the research objects in our hospital from January 2013 to August 2015. MRI data of 2 cases of missed diagnosis were retrospectively analyzed. Result：58 patients with suspected breast lesions underwent MRI examination. Among them， 56 cases were diagnosed correctly by MRI， the accuracy rate was 96.43%. Diagnosis error had 2 male patients， which were： fibrous collagen hyperplasia with inflammatory cell infiltration， misdiagnosed as breast cancer. Male breast development， misdiagnosed as breast cancer. Conclusion：MRI has great advantages for the detection of breast cancer. For MRI can not be determined， and there are suspected signs of patients， pathological biopsy is still the gold standard of diagnosis. The misdiagnosis rate of MRI in male breast lesions is high， which needs attention. 　　【Key words】 Breast lesions； MRI； Missed diagnosis； Pathological biopsy 　　First-authors address：The Central Peoples Hospital of Ji’an City， Jian 343000， China 　　doi：10.3969/j.issn.1674-4985.2015.36.019 　　乳腺癌是最常见的恶性肿瘤之一[1]。乳腺癌的早期发现、早期诊断[2]，是提高疗效的关键，其早期筛查及诊断已得到人们的广泛关注。目前，乳腺疾病的常用影像学诊断方法主要有乳腺钼靶X线摄片、超声、磁共振成像（MRI）等[3-5]。彩色多普勒超声及钼靶X线对乳腺癌有较高的诊断价值，但是漏诊率较高，在诊断中也均有假阳性及假阴性结果的出现[6-8]。与乳腺钼靶X线摄片和超声相比，MRI具有无电离辐射、软组织分辨率高、多参数多平面成像等优点[9]。尽管与其他检查方法相比，MRI有着较高的敏感性和特异性，仍会导致误诊[10]。本文