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乳腺癌的早期诊断

Clinical pathological study of 78 cases of early breast cancer
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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78例早期乳腺癌的临床资料,术前均行超声、钼靶X线、超声定位穿刺活检。结果78例病人中乳腺腺体局限性增厚47例(60.3%),可触及结节者仅29例(37.2%);无任何体征者2人(2.5%)。超声联合钼靶X线及超声定位穿刺活检对早期乳腺癌的诊断符合率分别为91.02%,92.30%,与单纯超声及钼靶X线检查相比有显著性差别。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;及时对乳腺结节、局限性增厚、钼靶X线致密影等可疑病灶行组织学穿刺活检或超声联合钼靶检测可提高早期乳腺癌的诊断率。 Objective In order to improve the diagnostic rate, this article analyzed the clinical characteristic and diagnostic methods of early stage breast cancer. Methods A total of 78 early stage breast cancer patients data were surveyed retrospectively. They were performed ultrasound, mammography, needle aspiration before operation. Results Of the 78 patients,47 (60.3%) appeared to be thickening locally on mammary glands, another 29 (37.2%) can be felt nodules when palpation. And 2(2.5% ) patients have no any symptoms. The diagnostic rate of early stag breast cancer by ultrasound united mammography or needle aspiration is 91.02% ,92.30% respectively,which is significant differ- ence with ultrasOund or mammography. Conclusions Symptoms increasing of mam mary glands hyperplasia or develo- ping local thickening of mammary glands in hish risk aged women always suggest the possibility of early stage breast cancer. In order to raise the diagnostic rate of early stage breast cancer,it is necessary to perform needle aspiration or to dectect by ultrasound and mammography.
出处 《医学信息(内.外科版)》 2009年第8期693-695,共3页 Medical Information Operations Sciences Fascicule
关键词 早期乳腺癌 诊断 early stage breast cancer diagnosis
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