乳腺疾病钼靶摄影诊断误诊分析(附47例报告)

Misdiagnostic analysis of breast disease with mammography (a report of 47 cases)

目的:进一步提高乳腺疾病影像诊断水平。方法:对47例钼靶摄影误诊和病理证实的乳腺疾病进行回顾性分析。结果:误诊为良性病变的恶性肿瘤26例(A组),误诊为恶性病变的良性病变21例(B组)。A组钼靶摄影表现:肿块影15例,结节影5例,团片状影2例,未见明显异常4例。B组:肿块影11例,小结节影6例,放射状条索影1例,片状影1例,钙化2例。结论:分析钼靶摄影片时,强调与临床、彩超相结合,可减少误诊,进一步提高诊断水平。

Objective ：To improve the radiological diagnosis of breast disease.Methods ：Fourty-seven cases of breast disease which were misdiagnosed by molybdenum mammography and confirmed by surgical pathology were retrospetively analyzed.Results： Twenty-six malignant cases were misdiagnosed as benign （group A）.Twenty-one benign cases were misdiagnosed as malignant （group B）.The mammographic findings in group A were mass （15 cases）,nedule （5 casas）,roundish and sheetlike image（2 casas）,and no abnormal sign （4 casas）.The mammographic findings in group B were mass（11casas）,nedule（6 casas）,radial scars（1 casa）,sheetlike image（1 casa）and calcification（2 casas）.Conclusion：By analyzing mammographic findings and emphasizing the diagnosis combined with clinical data and color-ultrasonics,we could decrease misdiagnosis and improve the diagnostic level.