摘要
目的探讨早期乳腺癌的临床特点及诊断方法,为提高早期乳腺癌的诊断率提供参考依据。方法回顾性分析2003年1月至2006年12月收治的62例早期乳腺癌的临床资料。结果62例患者中乳腺局限性增厚37例(59.7%),可触及结节者23例(37.1%);有乳腺增生病史伴增生症状加重者45例(72.6%)。钼靶X线钙化25例(40%),肿块结节影10例(16.1%)。50例(80.6%)超声检出边界不规则低回声结节,78%的结节内或周围可测到血流信号。46例通过Mammotone微创乳房肿块活检系统进行取材活检获得诊断,16例由超声或钼靶定位后手术活检确诊。结论高危年龄妇女乳腺增生伴症状加重,乳腺局限性增厚是早期乳腺癌的重要表现;彩色多普勒超声及钼靶X线检查对早期乳腺癌有一定的诊断价值;Mammotone微创活检诊断系统在早期乳腺癌诊断中具有很高的应用价值;可提高早期乳腺癌的诊断率。
Objective In order to provide the reference basis improving the diagnostic rate,this article analyzed the clinical characteristic and diagnostic methods of early stage breast cancer. Methods The clinical data of 62 early stage breast cancer inpatients from Jan 2003 to Dec 2006 were surveyed retrospectively. Results Of the 62 patients,37 （59.7%） cases appeared to be thickening locally on mammary glands,another 23 cases （37.1%） can be felt nodules when palpation. Besides,symptoms of 45 （72. 6% ） patients with mammary glands hyperplasia became heavier not long before visiting. 25 （40%） cases presented calcification merely on mammog-raphy, mass reflection was detected with mammography in 10 （16. 1% ） patients. Ultrasound preoperative examination showed irregularity boundary low level-echo tubercles in 50（ 80. 6% ）patients, and blood flow signal was detected within or around the tubercles in 78% patients. 46 patients was diagnosed through the Mammotone min-i-invasive breast biopsy technology. And another 16 patients reached the final diagnosis with operational biopsy after ultrasound allocation. Conclusion Symptoms increasing of mammary glands hyperplasia or developing local thickening of mammary glands in high risk aged women always suggest the possibility of early stage breast cancer. For the early stage breast cancer patient, Color Doppler Ultrasound and mammography were provided with the diagnostic value. For diagnosing the early stage breast cancer, the Mammotone mini-invasive breast biopsy technology has very high application value and can raise the diagnostic rate.
出处
《中国实用医药》
2008年第22期40-42,共3页
China Practical Medicine
