乳癌X线漏、误诊分析(附24例报告)

Mammographic Analysis of Missed or Mistaken Diagnoses of Breast Cancer (A Report 24 Cases)

目的 进一步降低乳腺疾病、特别是乳癌的漏、误诊率。方法 总结了经病理证实的 2 4例漏、误诊乳腺疾病的X线表现。结果 2 4例中 ,16例乳癌漏诊 :8例表现为腺病表现 ,2例呈致密型乳腺 ,3例无块影发现 ,2例病灶未完全摄入片内 ,1例见边缘光整的块影 ;8例良性病变误诊为乳癌 ;4例略呈分叶状块影 ,2例见泥沙样钙化 ,2例乳晕后片状影。结论 乳癌X线诊断如能结合临床、穿刺及其他检查 ,可提高诊断准确率。

Objective To further lower the rate of missed or mistaken diagnoses radiologically of breast diseases,especially breast cancer.Methods Mammographic findings of 24 cases of breast diseases proved pathologically but missed or mistaken diagnosed radiologically are reviewed.Results Of the 24 cases,16 cases of breast cancer missed diagnoses,including struma in X-ray in 8,dense pattern breast in 2,no mass shadow seen in 3,lesions not included fully in mammograms in 2,and mass shadow with smooth edges seen in one;8 cases of benign lesions were mistaken for breast cancer,including slightly lobular mass shadows seen in 4,mud-or sand-like calcifications in 2,and opacity behind areolae of nipple in 2.Conclusion Mammograpic diagnoses of breast cancer combined clinic,puncture,and other examinations can increase the diagnostic accuracy.