钼靶X线摄影诊断乳腺癌的评价

摘要

Objective To explore the value of mammography in the diagnosis of breast tumor. Methods The mamrnographic signs of 60 cases with breast tumor and the reasons for misdiagnosis were analyzed retrospectively. Results 60 cases were confirmed by pathology, left breast cancer 38 cases, while 22 cases of right breast cancer. X-ray signs included mass in 48 cases, increased local density asymmetry or structural distortion in 7 cases, malignant calcification in 5 cases. X-ray diagnosed accuracy of 55 cases(91%), misdiagnosed 4 cases(7%), missed 1 cases(2%). Conclusion The mammography is convenient, fast and practical, high detection rate. It is very valuable in the diagnosis of early breast tumor with malignant calcification performance-based. Atypical signs of breast cancer and dense breast are the main reason for misdiagnosis. Any asymmetry in the local density increased, the focal structural distortions, and dense micro-calcification should be combined with ultrasound, MRI examination.%目的 探讨钼靶X线摄影对乳腺癌的诊断价值.方法 回顾性分析经手术、病理证实的60例乳腺癌患者的钼靶X线征象及漏误诊的原因.结果 60例患者经手术病理证实,左乳癌38例,右乳癌22例.X线表现:肿块48例,不对称性局部密度增高或结构扭曲7例,恶性钙化为主要表现5例.X线诊断正确55例(91％),误诊4例(7％),漏诊1例(2％).结论 乳腺钼靶X线检查方便,快捷实用,对乳腺癌的检出率高,对恶性钙化表现为主的早期乳腺癌的诊断有很重要的价值.乳腺癌的不典型征象及致密型乳腺是漏误诊的主要原因,任何不对称性局部密度增高,局灶性结构扭曲,较密集的微细钙化均应结合B超、MRI检查,以减少漏误诊,提高对乳腺癌的诊断准确率.