| 李洪林,姜玉新,郝玉芝,周纯武.超声对乳腺恶性病变的诊断价值[J].中国医学影像技术,2006,22(6):870~872 |
| 超声对乳腺恶性病变的诊断价值 |
| Value of ultrasound in diagnosis of breast malignant lesions |
| 投稿时间：2006-02-04 修订日期：2006-05-09 |
| DOI： |
| 中文关键词: 乳腺 恶性肿瘤 超声检查 |
| 英文关键词:Breast Malignant neoplasms Ultrasonography |
| 基金项目: |
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| 摘要点击次数: 1987 |
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| 中文摘要: |
| 目的 评价超声对乳腺恶性病变的诊断价值。方法 分析1379个乳腺恶性病变的超声诊断,与术后病理诊断对照。比较不同病理类型、不同大小以及不同年龄组乳腺恶性肿瘤的超声诊断正确率。结果 超声对原位癌、浸润性导管癌以及其他类型的恶性肿瘤的正确率分别为70.3%,95.8%和88.6%,三者之间差异均有统计学意义(χ2=9.33, P＝0.002);对最大径<1 cm与≥1 cm的浸润性肿瘤的正确率(87.3%和95.7%)的差异有统计学意义(χ2=10.635, P=0.001),超声对不同年龄组恶性病变的正确率为92.1%~94.5%,差别无统计学意义(χ2=2.207, P＝0.698)。结论 超声对各年龄段的乳腺恶性肿瘤的诊断正确率一致,对原位癌和直径小于1 cm的恶性肿瘤的容易误漏诊。 |
| 英文摘要: |
| Objective To evaluate the diagnostic accuracy of ultrasound to breast malignancy. Methods The ultrasound diagnoses of 1379 breast malignant lesions proved by pathology after operations were reviewed. The accuracy rate of ultrasound to lesions with variable pathological types, variable sizes and different age decades of patients were compared. Results The accuracy rate of ultrasound to carcinoma in situ, invasive ductal carcinoma, and other malignant lesions was 70.3%,95.8% and 88.6%, respectively, the differences among them were statistical significant (P=0.002). To invasive malignancies less than 1 cm and ≥1 cm in diameter, it was 87.3% and 95.7%, respectively (P=0.001). The accuracy rate of ultrasound to breast malignancy ranged from 92.1% to 94.5% as patients were divided in different decades, the difference was not significant (P=0.698) among them. Conclusion Ultrasound has a similar accuracy rate to the breast malignancies in different-decades patients, it is more often for ultrasound to miss or misdiagnose the carcinoma in situ and invasive malignancy less than 1 cm in diameter. |
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