钼靶X线对非肿块型乳腺癌诊断价值

The value of molybdenum target X- ray diagnosis in non- mass breast cancer

目的:探讨钼靶X线在非肿块型乳腺癌中的诊断价值,提高非肿块型乳腺癌的影像学早期诊断水平。方法:回顾性分析经手术病理证实、并有完整影像学资料的17例非肿块型乳腺癌患者钼靶X线征象,评价钼靶X线对非肿块型乳腺癌患者的诊断意义和应用价值。结果:17例非肿块型乳腺癌中,临床触及肿块者10例,未触及肿块者7例。影像表现为恶性钙化8例,结构扭曲5例,小片状高密度影4例。钼靶X线诊断准确14例(82.4%);误诊2例,占11.8%;漏诊1例,5.8%。结论:钼靶X线对非肿块型乳腺癌的诊断方便快捷、诊断准确率较高,密切结合临床病史及查体更能有效防止漏误诊。

Objective To investigate diagnostic value of non-mass breast cancer by molybdenum target X-ray,improve imaging early diagnosis. Methods Retrospective analysis 17 cases of molybdenum target X-ray findings with non-mass breast cancer,which confirmed by pathology,evaluate the diagnosis and value.of molybdenum target X-ray in non-mass breast cancer. Results 17 cases of non-mass breast cancer,10 cases have clinical palpable mass,no palpable mass in 7 cases. Malignant calcification eight cases,structural distortions five cases,small pieces of high density four cases in Imaging findings . 14 cases had been accuratly diagnosed by Molybdenum target X-ray,accounting for 82.4%. Misdiagnosed 2 cases,accounting for 11.8 percent,missed one case,5.8%. Conclusion Combined with clinical history and physical examination,X-ray mammography had convenient,diagnostic accuracy rate in non-mass breast cancer. It can more effective to prevent misdiagnosis.