钼钯乳腺X线摄影误诊病例分析

Analysis of misdiagnosis of breast cancer on mammography

目的分析乳腺钼钯X线摄影误诊的原因及探讨避免误诊的方法和经验。方法回顾性分析69例经病理证实而乳腺钼钯X线摄误诊的乳腺疾病影像资料。结果69例误诊中,良性诊断为恶性者24例,恶性诊断为良性者45例。误诊原因主要为乳腺致密肿块难以对比等客观原因,以及病变X线表现不典型所致。结论规范乳腺的钼钯X线摄影方法以及加强读片一定程度可以减少误诊。

Objective To analyze the misdiagnosis of breast diseases on mammography. Methods In total 69 cases of breast disorder confirmed by pathological examinations, but misdiagnosed on mammography were retrospectively studied. Results Among 69 cases, 24 benign disorders were misdiagnosed as malignant lesions, and 45 malignant lesions were misdiagnosed as benign ones. Lesions were lacking contrast in dense breasts and tiny abnormalities of lesions revealed on mammogram resulted in misdiagnosis. Conclusion Standardized mammography and careful investigation of mammogram can reduce the misdiagnosis.