术前超声及钼靶BI-RADS分类对早期乳腺癌的诊断价值

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Abstract Objective To explore the diagnostic value and influencing factors of preoperative ultrasound and mammography BI-RADS classification in the early-stage breast cancer.Methods The clinical data on 43 patients with 44 breast lesions diagnosed as early stage (TNM Ⅰ-Ⅱ) breast cancer between August 2015 and August 2017 was retrospectively analyzed. All the patients received breast ultrasound and mammography examination and their BI-RADS classification before surgery was recorded. According to BI-RADS classification, the imaging Results were divided into three types: benign(≤3), suspicious for malignancy (=4a), and malignant (≥4b).The diagnostic value of ultrasound combined with mammography BI-RADS in a variety of breast cancers was explored and the influencing factors were analyzed.Results The proportion of cases that were suspicious for malignancy or malignant according to preoperative ultrasound BI-RADS classification of early stage breast cancer was 93.2%(41/44), which was significantly higher than that of mammography 75% (33/44)(P< 0.05). However, no significant difference were found between detection with ultrasound alone and that with the combined method (95%(42/44)). For mucous adenocarcinoma, the proportion of cases diagnosed as suspicious for malignancy or malignant with ultrasound was higher than with mammography, but there was no significant difference in BI-RADS classification of infiltrating ductal carcinoma, intra-ductal carcinoma and other types of breast cancer. The two lesions diagnosed as benign with the combined method were intra-ductal carcinoma and medullary carcinoma respectively.Conclusions For early-stage breast cancer and mucous adenocarcinoma in particular, the proportion of cases diagnosed as suspicious for malignancy or malignant with ultrasound was higher than with mammography during preoperative ultrasound BI-RADS classification.The proportion of cases diagnosed as suspicious for malignancy or malignant with ultrasound or mammography is closely related to the pathologic types, but there is still the possibility that the combined method fails to detect some special types of early-stage breast cancer and intra-ductal carcinoma.

Key words： early-stage breast cancer ultrasound mammography medullary carcinoma mucinous carcinoma

Received: 15 July 2018

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	Articles by authors
	XI Xiaoping
	YAN Wei
	ZHANG Yiliang
	DING Xue
	XU Wen
	LI Wenhong
	WANG Songtao

Cite this article:

XI Xiaoping,YAN Wei,ZHANG Yiliang等. Diagnostic value of preoperative breast ultrasound and mammogram BI-RADS classification in early breast cancer[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(11): 1054-1057.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I11/1054

[1]	Oeffinger K C, Fontham E T, Etzioni R, et al. Breast cancer screening for women at average risk: 2015 guideline update from the American Cancer Society[J]. JAMA, 2015, 314(15):1599-1614.
[2]	郑莹,吴春晓,张敏璐. 乳腺癌在中国的流行状况和疾病特征[J]. 中国癌症杂志, 2013,23(8):561-569.
[3]	Jackson V P. Diagnostic mammography[J]. Radiol Clin North Am, 2004, 42(5):853-870.
[4]	胡少波,王海霞. 乳腺肿瘤X线摄影临床价值分析[J]. 医学影像学杂志, 2015,25(4):717-719.
[5]	Njor S H, Von Euler-Chelpin M, Tjonneland A, et al. Body weight and sensitivity of screening mammography[J]. Eur J Cancer, 2016, 60: 93-100.
[6]	彭丽春,罗文杰,孙培,等. 高频超声及X线钼靶在社区妇女普查中诊断早期乳腺癌的价值[J]. 上海医学影像, 2013, 22(1): 55-59.
[7]	刘军杰,李智贤,陈圆圆,等. 超声检查与乳腺X线摄影对乳腺粘液腺癌诊断价值的比较[C]//中国超声医学工程学会第十一届全国超声医学学术大会论文汇编. 郑州: 中国超声医学工程学会, 2012: 135-138.
[8]	卞丽琴,刘传亚,谭茹,等. 数字乳腺X线摄影曝光条件与乳腺分型和乳腺厚度的关系探讨[J]. 医学影像学杂志, 2009, 19(9): 1162-1164.
[9]	张立娜,黎庶,郑新宇,等. 乳腺X线及超声影像诊断乳腺癌的优势及不足[J]. 中国医科大学学报, 2010, 39(6): 485-486.
[10]	吴丽足,林礼务,薛恩生,等. 高频彩色多普勒超声对乳腺髓样癌的诊断及误诊原因分析[J]. 中国超声医学杂志, 2012, 28(8):761-763.
[11]	朱庆莉,姜玉新,孙强,等. 乳腺癌彩色多普勒血流显像的多因素分析[J]. 中华超声影像学杂志, 2006, 15(2):109-112.
[12]	余小多,李静,宋颖,等. 乳腺髓样癌的钼靶X线特点与病理对照[C]//中华医学会第十三届全国放射学大会论文汇编(下册).武汉: 中华医学会放射学委员会,2006: 134-124.
[13]	李洪林,朱利,李静,等. 超声与钼靶摄影诊断乳腺导管内癌的对照研究[J]. 中国超声医学杂志, 2006, 22(11):828-831.
[14]	王建伟,林僖,赵静,等. 超声与钼靶联合诊断乳腺导管内癌[J]. 中华医学超声杂志(电子版), 2011, 8(6):1262-1266.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(9): 802-803.