Abstract:ObjectiveTo analyze the ultrasonographic features of the breast mutinous carcinoma and results of molybdenum target mammography and improve the coincidence of the two kinds of imaging examinations. MethodsThe sonographic appearances and pathological features of breast mutinous carcinoma in 43 cases (a total of 44 lesions ) collected from the department of breast surgery of Changzhou Second People′s Hospital diagnosed by operation and pathology were analyzed retrospectively. Ultrasonic appearance such as lump quantity,size,boundary,shape,internal echo,rear echo,lump internal microcalcification or not,lump internal blood stream situation,oxter lymph nodes infiltration information were analyzed. Molybdenum target mammography examinations such as lump shape,boundary,density and calcification were recorded. Contrast analysis was carried out to analyze the diagnostic coincidence between ultrasonography and molybdenum target mammography. ResultsAmong the 43 cases with mucinous carcinoma of breast, 35 cases′ preoperative ultrasonic diagnosis accorded with postoperative pathological diagnosis, ultrasonic diagnostic coincidence was 81.4% (35/43). 32 cases′ preoperative molybdenum target mammography accorded with postoperative pathological diagnosis, molybdenum target mammographic diagnostic coincidence was 74.4% (32/43). There was no statistically significants in diagnostic efficacy between the two examinations (χ2=0.61,P=0.43). Among the 43 cases with mucinous carcinoma of breast, 40 cases (93.0%, 40/43) were suspected malignant by ultrasonography or molybdenum target mammography. 26 cases (60.5%, 26/43) were suspected malignant by the both two examinations. ConclusionsBoth ultrasonography and molybdenum target mammography possess higher coincidence to diagnose breast mutinous carcinoma. Combining the two examinations can further elevate coincidence. If ultrasonography or molybdenum target mammography is suspected to maligmant, biopsy and histopathology should be performed to make a definite diagnosis.
黄润生 翁立峰 石海峰. 彩色多普勒超声与钼靶X线摄影检查对乳腺黏液癌的诊断价值分析[J]. 中华诊断学电子杂志, 2019, 7(1): 17-20.
Huang Runsheng, Weng Lifeng, Shi Haifeng. Diagnostic value analysis by color Doppler Ultrasonography and molybdenum target mammography to breast mucinous carcinoma. zhzdx, 2019, 7(1): 17-20.