冷强光透照对乳腺肿块的诊断价值

VALUE OF DIAPHANOGRAPHY IN THE DIAGNOSIS OF BREAST LUMPS

对1236例乳房肿块进行冷强光透照(DPG)检查,其中401例手术行组织学检查证实。结果表明,乳腺癌81例,DPG阳性61例,诊断符合率为75.3%;腺纤维瘤188例,DPG阳性者175例,诊断符合率为93.1%;增生91例,DPG阳性者86例,诊断符合率94.5%;其它41例,诊断符合率73.2%。总计诊断符合率为87.8%。提示DPG是一种无损伤、非侵入、操作简单、病人易接受、重复性强的影像诊断方法。

1236 cases of breast lumps were examined by diaphanogeaphy (DPG). In 401 of them histological examination was carried out after operation to confirm the diagnosis. In cases of breast cancer, the diagnostic coincidence rate was 75.3%, confirmed histo- logically, which is similar to the 74.9% reported by Zhang Keqin and to the 75%～80% reported abroad. 188 of the 401 cases were fibroadenomas, of which 175 were shown positive by DPG, the diagnostic coincidence rate being 93.1%. In 91 cases of hyperpla- sia, 86 were positive by DPG and the diagnostic coincidence rate was 94.5%. In the other 41 cases, the coincidence rate was 73.2%. The total diagnostic coincidence rate was 87.8%. DPG is a non-traumatic, non-invasive video diagnostic method which is easily operated and can be used repeatedly. At present there are different evaluations on the use of DPG in diagnosing breast cancer.