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30例早期乳腺癌的临床资料。结果30例病人中乳腺局限性增厚18例(60%),可触及结节者仅11例(37%);有乳腺增生病史伴增生症状加重者22例(73.3%)。钼靶X线单纯钙化12例(40%),肿块结节影5例(17%)。24例(80%)超声检出边界不规则低回声结节,79%的结节内或周围可测到血流信号。11例通过空芯针穿刺获得诊断,19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;彩色多普勒超声对早期乳腺癌的诊断价值优于钼靶X线检查;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以及钼靶定位后手术活检,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 30 early stage breast cancer patients data were surveyed retrospectively. Results Of the 30 patients,18 （60%）appeared to be thickening locally on mammary glands,another 11 （37%） can be felt nodules when palpation. Besides, symptoms of 22 （73.3%）patients with mammary glands hyperplasia became heavier not long before visiting. 12 （40%）presented calcification merely on mammography, mass reflection was detected with mammography in 5 （ 17% ）patients. Ultrasound preoperative examination showed irregularity boundary low level-echo tubercles in 24 （80%）patients, and blood flow signal was detected within or around the tubercles in 79% patients. 11 patients was diagnosed through hollow needle aspiration biopsy, and another 19 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. The diagnostic value of Color Doppler Ultrasound outweighs mammography for early stage breast cancer. In order to raise the diagnostic rate of early stage breast cancer,it is necessary to perform needle aspiration or operational biopsy by ultrasound or mammography allocation promptly for patients with mammary glands nodules, local thickening or pyknic image on mammography.
出处
《中国实用外科杂志》
CSCD
北大核心
2006年第9期687-688,共2页
Chinese Journal of Practical Surgery
关键词
早期乳腺癌
致密影
局限性增厚
Early stage breast cancer
Ultrasound
Local thickening
