不同检查方法对乳腺错构瘤的诊断价值(附11例报告)

The Value of Different Methods in Breast Hamartomas Diagnosis(A Clinicopathological Analysis of 11 Cases)

目的：探讨乳腺错构瘤的临床、病理及钼靶X线表现特点，以提高其临床诊断率。方法：分析1996—2006年我院经术后病理诊断的11例乳腺错构瘤的临床资料，比较临床、影像学与病理诊断符合率。结果：本组2例术前分别经临床诊断和钼靶X线检查确诊，术前诊断与病理诊断符合率为18．2％，术中均行冷冻切片病理检查，9例诊断正确，与术后石蜡切片病理，诊断符合率为81．8％。结论：钼靶X线检查可提高乳腺错构瘤的诊断率，术中行冷冻切片病理检查对乳腺错构瘤诊断准确率较高，有助于合理选择手术方式。

Objective： To investigate clinical, pathological and Mo target mammographic characteristics of 11 cases of breast hamar- tomas and enhance clinical diagnostic accuracy rate. Methods ： 11 cases of breast hamartomas proved by post-operation patfiology were retrospectively analyzed with the past literatures and reviews from 1996-2006, comparing the diagnostic coincident rate of clinic and mammography with pathology. Results：2 cases were definitely diagnosed before operation by clinical and Mo target mammographic methods. The coincident rate is 18.2%. Meanwhile the diagnostic coincident rate of the quickly frozen pathological section during operation was 81.8%. 9 cases were diagnosed correctly. Conclusion：Mammography can improve breast hamartomas diagnostic rate and the quickly-frozen pathological section during operation is accurate and corresponds to the diagnosis well, which is helpful in selecting reasonable operational methods.