| 李晶 赵武 回影 唐晓芙 王素娟.乳腺癌钼靶X线检查的漏诊及误诊分析[J].,2016,16(15):2899-2901 |
| 乳腺癌钼靶X线检查的漏诊及误诊分析 |
| Analysis of Misdiagnosis of X-ray Mammography Inspection on BreastCancer |
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| DOI： |
| 中文关键词: 乳腺癌 漏诊误诊 钼靶X 线 |
| 英文关键词: Breast cancer Misdiagnosis Mammography X-ray |
| 基金项目:辽宁省科技厅计划项目(2013226012) |
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| 中文摘要: |
| 目的：分析乳腺癌X 线检查的误诊及漏诊情况。方法：选择2013 年5 月至2015 年5 月在我院的经乳腺X 线和病理检查证
实的乳腺肿瘤患者135 例为研究对象，比较X 线检查结果与病理诊断结果的误诊率及漏诊率，并分析导致误诊及漏诊的因素。结
果：135 例患者中，术后病理证实为恶性肿瘤63 例（46.67 %），良性肿瘤72 例（53.33 %）。63 例乳腺恶性肿瘤中，X 线误诊为良性5
例，误诊率为7.93 %。其中1 例误诊为乳腺增生，2 例误诊为乳腺炎症，1例误诊为术后疤痕挛缩，1 例误诊为纤维腺瘤；X线表现
为肿块形态呈圆形或类圆形边缘光滑2 例，肿块周围出现透亮区1 例，乳腺结构扭曲1 例。72 例良性肿瘤中，X 线误诊为恶性7
例，误诊率为9.72 %。其中4 例为乳腺增生，2 例为乳腺炎，1例为乳腺纤维瘤，1 例为乳腺筋膜炎；X 线表现为密度较高而边缘不
清的肿块影1 例，边缘似有毛刺征1 例，伴有钙化、模糊无定型呈散在分布1 例，部分边缘有突起或后缘凹凸不平1 例，片状影2
例（1 例密度较高，1 例密度较均匀）；肿块伴乳晕增厚、乳头内陷1 例。结论：乳腺X 线检查的准确性受直接征象和间接征象的影
响。因此，临床实践中可联合运用乳腺X 线检查和乳腺超声或MRI检查，从而提高乳腺肿块诊断的准确率。 |
| 英文摘要: |
| Objective:To analyze the misdiagnosis of X-ray inspection of breast cancer.Methods:135 cases with breast cancer
who were treated in our hospital from May 2013 to May 2015 were selected, and the misdiagnosis rates of pathological diagnosis and
X-ray were compared, and the influencing factors were analyzed.Results:In 135 cases, 63 cases (46.67%) were malignant tumor, and another
72 cases (53.33%) were benign tumor that confirmed by pathology. Among the 63 cases with malignant tumor, five were misdiagnosed
by benign tumor, and the misdiagnosis rate was 7.93%, which including one breast hyperplasia, two inflammation, one postoperative
scar contracture, and one breast fibroadenoma. X-ray manifestations of tumor shape is that two were round or circular smooth edges,
one was mass around the lucent area, and one was breast structure distortion. Among the 72 cases with benign tumor, seven were misdiagnosed
by malignant tumor, and the misdiagnosis rate was 9.72%, which including four hyperplasia, two inflammation, one fibroadenoma
and one breast fasciitis. X-ray manifestations is that one was higher density and edge unclear mass shadows, one was seemed to be
spiculation, one was calcification and fuzzy without stereotypes scattered distribution, one was projection or trailing edge uneven, two
were nodular opacity, and one was areolar thickening and nipple depression.Conclusion:The accuracy of breast X-ray examination is influenced
by direct and indirect signs. Therefore, the clinical practice should combine the X-ray with ultrasound or MRI to improve the accuracy
of diagnosis of breast cancer. |
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