乳腺癌的彩超误诊和漏诊分析
Analysis of misdiagnostic and missed diagnostic of breast cancer with color doppler ultrasonography
杨兴洲 1周鸿 1刘莹 1陈昶宇 1王菁 1宋丁1
作者信息
- 1. 重庆医科大学附属成都第二临床学院暨成都市第三人民医院超声科,四川成都610031
- 折叠
摘要
目的 探讨彩色多普勒超声在声像图不典型乳腺癌的应用价值.方法 对223例经手术和病理证实为乳腺癌患者的临床资料进行回顾性分析,对26例乳腺癌患者彩超误诊和漏诊的原因进行归纳和总结.结果 乳腺影像报告和数据系统(B1-RADS)为1类4例,漏诊率1.8％；BI-RADS为2类18例,BI-RADS为3类4例,BI-RADS为2～3类共22例,误诊率9.9％.结论 对于临床医生触诊到质硬活动度差的乳腺包块患者,应反复检查仔细分析图像,应用BI-RADS合理分类,以指导临床治疗.
Abstract
Objective To discuss the value of color doppler ultrasonography in atypical breast cancer imaging. Methods 223 patients with breast cancer who confirmed by surgery and pathology were retrospectively analyzed, the reasons of misdiagnosis and missed diagnosis of 26 cases were summed up and summarized. Results The cases of missed diagnosis (BI-RADS1) were 4(1. 8%), the cases of misdiagnosis were 22(9. 9%),including 18 B1-RADS2 and 4 B1-RADS3. Conclusion In the diagnosis of breast masses with hard quality and poor activity by palpation, it is necessary to repeatedly check and careful analyse the imaging, to reasonable applicate the BI-RADS classification, to guide clinical treatment.
关键词
乳腺肿瘤/超声检查/超声检查,多普勒,彩色/误诊Key words
Breast Neopiasms/ultrasonography/Ultrasonography, Doppler, Color/Diagnostic Errors引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据