摘要
目的:探讨乳腺癌钼靶X线误诊及漏诊的原因和预防措施,提高乳腺癌的诊断水平。材料与方法:收集2016年1月~2018年12月的住院患者,术前钼靶X线和MR影像检查,术后病理证实为乳腺癌11例患者作为研究对象,对其中钼靶X线误诊4例、漏诊1例的乳腺癌患者与MR影像和病理结果作对比分析。结果:1.钼靶X线结果:乳腺癌者6例,良性病变者3例,正常者2例。2.MR影像结果:11例均为乳腺癌者。3.病理结果:11例乳腺癌, 1例为乳腺导管原位癌;其余10例为非特殊类浸润性癌。4.结果对比情况:钼靶X线准确诊断乳腺癌者6例,准确率为54.55%;误诊良性病变者4例,误诊率为36.36%;良性病变者漏诊1例,漏诊率为9.09%。MR准确诊断乳腺癌者11例,与病理一致,准确率为100%。钼靶X线检查与MR检查和病理检查结果对乳腺癌与良性病变的诊断水平X^2检验,其值均为6.48,P<0.05,差异具有统计学意义。结论:1.误诊及漏诊的原因:①摄影因素②乳腺腺体类型因素③乳腺癌病灶特征因素④影像科医生因素。2.预防措施:通过预防对策,能减少乳腺癌钼靶X线误诊和漏诊。
Purpose:To investigate the causes and preventive measures of misdiagnosis and missed diagnosis of breast cancer by molybdenum target X-ray,so as to improve the diagnostic level of breast cancer.Materials and Methods:From January 2016 to December 2018,11 cases of breast cancer confirmed by pathology after operation were collected.Four cases of breast cancer misdiagnosed by molybdenum target X-ray and one case of breast cancer misdiagnosed by missed diagnosis were compared with MR images and pathological results.Results:1.Molybdenum target X-ray results:6 cases of breast cancer,3 cases of benign lesions,2 cases of normal.2.MR imaging results:11 cases were breast cancer.3.Pathological results:11 cases of breast cancer,1 case of ductal carcinoma in situ,and 10 cases of non-specific invasive carcinoma.4.Result Comparisons:6 cases of breast cancer were diagnosed accurately by molybdenum target X-ray,the accuracy rate was 54.55%;4 cases of benign lesions were misdiagnosed,the misdiagnosis rate was 36.36%;1 case of benign lesions was missed,the missed diagnosis rate was 9.09%.There were 11 cases of breast cancer diagnosed accurately by MR,which was consistent with pathology,and the accuracy rate was 100%.The diagnostic level of mammography,MR and pathological examination for breast cancer and benign lesions was 6.48,P<0.05,and the difference was statistically significant.Conclusion:1.The causes of misdiagnosis and missed diagnosis are:(1)photographic factors;(2)factors of breast type;(3)characteristics of breast cancer lesions;(4)factors of radiologists.2.Preventive measures:Through preventive measures,we can reduce the misdiagnosis and missed diagnosis of breast cancer by molybdenum target X-ray.
作者
余寿高
辛剑锋
Yu shougao;Xin Jianfeng(Center for Disease Control and Prevention,Hanjiang District,Putian City;Department of Imaging,Affiliated Hospital of Putian University(Putian,Fujian 351100)
出处
《现代医用影像学》
2019年第9期1963-1966,共4页
Modern Medical Imageology
关键词
乳腺癌钼靶X线
误诊
漏诊
MR影像病理
Mammary cancer
Molybdenum target X-ray
Misdiagnosis
missed diagnosis
MR image
Pathology
