超声引导下穿刺活检对早期乳腺癌的诊断价值
Diagnostic value of ultrasound-guided puncture biopsy in early breast cancer
冯岩 1程嘉 1孟景茜2
作者信息
- 1. 郑州市中医院 超声科,郑州 450003
- 2. 郑州市中医院 内分泌科,郑州 450003
- 折叠
摘要
目的 探讨超声引导下穿刺活检对早期乳腺癌的诊断价值.方法 选取105例疑似早期乳腺癌患者,均接受超声检查及超声引导下穿刺活检.以病理检查结果为金标准,评估超声检查、超声引导下穿刺活检对早期乳腺癌的诊断价值.结果 病理结果显示,105例疑似早期乳腺癌患者中,良性49例,恶性(早期乳腺癌)56例,其中导管内癌34例,小叶原位癌13例,乳头湿疹样癌9例.超声引导下穿刺活检诊断早期乳腺癌的灵敏度为92.86%,特异度为100%,准确度为96.19%,阳性预测值为100%,阴性预测值为92.45%,均高于超声检查的78.57%、91.84%、84.76%、91.67%、78.95%.结论 超声引导下穿刺活检对早期乳腺癌的诊断价值较高.
Abstract
Objective To investigate the diagnostic value of ultrasound-guided puncture biopsy in early breast cancer.Method A total of 105 patients with suspected early breast cancer were selected,and all patients underwent ultrasound examination and ultrasound-guided puncture biopsy.The diagnostic value of ultrasound examination and ultrasound-guid-ed puncture biopsy for early breast cancer was evaluated based on the results of pathological examination.Result Patho-logical results showed that among 105 suspected early breast cancer patients,49 cases were benign and 56 cases were ma-lignant(early breast cancer),including 34 cases of intraductal carcinoma,13 cases of lobular carcinoma in situ,and 9 cas-es of papillary eczematoid carcinoma.The sensitivity,specificity,accuracy,positive predictive value and negative predic-tive value of ultrasound-guided puncture biopsy in the diagnosis of early breast cancer were 92.86%,100%,96.19%,100%and 92.45%,respectively,which were higher than those of ultrasound examination in 78.57%,91.84%,84.76%,91.67%and 78.95%.Conclusion Ultrasound-guided puncture biopsy has high value in the diagnosis of early breast cancer.
关键词
早期乳腺癌/超声引导下穿刺活检/病理检查/诊断价值Key words
early breast cancer/ultrasound-guided puncture biopsy/pathological examination/diagnostic value引用本文复制引用
基金项目
河南省中医药科学研究专项课题(2022JDZX147)
出版年
2024
NETL
NSTL
维普
万方数据