高频超声、钼靶X线及二者联合诊断早期乳腺癌价值比较.docVIP

高频超声、钼靶X线及二者联合诊断早期乳腺癌价值比较 　　孙晓岚，韩本宜△，曹 伟▲，刘 军，胡永伟　　　　　　　　　　　　　　　　　　　　　　　【摘要】 目的 比较高频超声与钼靶X线对早期乳腺癌诊断的优缺点，探讨二者联合诊断的价值。方法 对46例直径≤2cm的乳腺癌做高频超声与钼靶X线检查，并与手术病理诊断对照。结果 对于直径≤2cm的乳腺癌，高频超声与钼靶X线检查的病理诊断符合率相似，高频超声对肿块敏感，钼靶X线对单纯钙化敏感。对少见病理类型和直径在0.5～1.0cm范围内的乳腺癌，二者联合诊断具有互补性。结论 高频超声联合钼靶X线可以提高早期乳腺癌的诊断率，对可疑病例，一种检查未发现病灶的，有必要进行另一种检查作为补充。 【关键词】 高频超声；钼靶X线；乳腺肿瘤 【Abstract】 Objective To compare the advantage and defect of the diagnosis of early breast cancer by highresolution ultrasound and mammography，and assess the value of the combined diagnosis by two methods.Methods Fortysix cases of breast cancer whose diameter was smaller than 2cm were examined by highresolution ultrasound and mammography before operation.Diagnosis was made in every case and compared with the pathological results.Results The accuracy of pathological diagnosis of breast cancer whose diameter was smaller than 2cm by highresolution ultrasound and mammography was similar.The highresolution ultrasound was susceptible to the tumor and the mammography was susceptible to the microcalcification.Highresolution ultrasound and mammography was supplementary in diagnosis of breast cancer for each other，especially of the cancer with minority pattern of the pathology and the tumor whose diameter was in range of 0.5～1.0cm.Conclusion Highresolution ultrasound combined with mammography can improve the diagnosis of early breast cancer.To those suspected cases，when one method cann’t detect the focus，it is necessary to have another method as complement. 【Key words】 high-resolution ultrasound；mammography；breast neoplasms 据流行病学调查报道，我国有些地区乳腺癌在女性恶性肿瘤的发病中排第一位，且发病率有上升趋势［1］。早期诊断、早期治疗是改善预后的关键。乳腺癌的检查方法很多，钼靶是目前常用的首选检查方法［2］，但随着高频超声性能的不断提高，其在乳腺癌诊断中的应用越来越受到重视。本文旨在比较高频超声、钼靶X线及二者联合诊断早期乳腺癌的价值。 1 资料与方法 1.1 一般资料 本组病例为我院2004年7月～2005年11月乳腺癌患者46例，均为女性，年龄32～76岁，平均（42±5）岁。都为单个肿块，不包括复发病例。因发现乳房肿块、乳头溢液、乳头内凹、乳腺胀痛、乳房扪压痛或触痛等情况来就诊。术前1周均做B超及钼靶检查X线检查，术后都经病理证实。肿块最大直径≤2cm。 1.2 使用仪器及检查方法 1.2.1 超声检查 应用美国GE LOGIQ-400MR3彩色超声仪，8.2～11MHz变频探头。患者取平卧位，双手