杜訓(xùn)松 強(qiáng)光劉 宋培


[摘要] 目的 探討全域數(shù)字化乳腺攝影(full field digital mammography,F(xiàn)FDM)在腫塊型乳腺癌與纖維腺瘤鑒別診斷中的價(jià)值,總結(jié)FFDM診斷兩種疾病的經(jīng)驗(yàn),提高鑒別診斷水平。 方法 回顧性分析安徽省第二人民醫(yī)院2014年1月~2019年12月經(jīng)手術(shù)病理證實(shí)的25例腫塊型乳腺癌與40例纖維腺瘤的FFDM表現(xiàn),將其分為兩組(惡性/良性)并加以分析。 結(jié)果 FFDM檢查可清晰地顯示乳腺腫瘤的大小、部位、邊緣特征及腋窩淋巴結(jié)情況,兩組患者在病灶形態(tài)邊緣、鈣化灶數(shù)量方面比較,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。 結(jié)論 FFDM檢查在腫塊型乳腺癌與纖維腺瘤的鑒別診斷中具有重要價(jià)值。
[關(guān)鍵詞] 乳腺癌;纖維腺瘤;數(shù)字化乳腺攝影;診斷
[中圖分類號(hào)] R737.9 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] B ? ? ? ? ?[文章編號(hào)] 1673-9701(2020)12-0129-03
[Abstract] Objective To investigate the value of full field digital mammography(FFDM) in the differential diagnosis of mass-like breast cancer and fibroadenomas, to summarize the experience of FFDM in the diagnosis of two diseases, and to improve the level of differential diagnosis. Methods The FFDM findings of 25 cases of mass-like breast cancer and 40 cases of fibroadenomas confirmed by surgery and pathology in the Second People's Hospital of Anhui Province from January 2014 to December 2019 were retrospectively analyzed. They were divided into two groups(benign and malignant) and further analyzed. Results FFDM examination could clearly show the size, location, marginal characteristics and axillary lymph nodes of breast tumors. There were statistical differences in the shape of the lesions and the number of calcifications between the two groups(P<0.05). Conclusion FFDM is of great value in the differential diagnosis of mass-like breast cancer and fibroadenomas.
[Key words] Breast cancer; Fibroadenomas; Digital mammography; Diagnosis
腫塊型乳腺癌與乳腺纖維腺瘤是兩種性質(zhì)完全不同的乳腺疾病,治療方法和手段也截然不同。但二者臨床癥狀、體征及影像學(xué)表現(xiàn)均有交叉重疊,故給術(shù)前正確診斷帶來了一定困難。乳腺癌外科最新治療原則為“最小保乳有效治療”,而不是擴(kuò)大根治術(shù),而乳腺纖維腺瘤可定期隨訪或擇期手術(shù)。在實(shí)際工作中,我們常遇到這一問題并要求及時(shí)做出明確判斷,以便使患者得到合理、有效的治療。本研究回顧性分析25例腫塊型乳腺癌與40例乳腺纖維腺瘤的FFDM表現(xiàn),并與手術(shù)、病理對(duì)照,旨在探討兩種疾病的差異之處,以提高鑒別診斷水平。
1 資料與方法
1.1 臨床資料
回顧性分析安徽省第二人民醫(yī)院2014年1月~2019年12月經(jīng)手術(shù)病理證實(shí)的腫塊型乳腺癌患25例和乳腺纖維腺瘤40例的臨床資料,分成兩組(惡性/良性)?!?br>