CAJ | 학술논문

目的：评价钼靶X线及B超对乳腺导管原位癌的诊断价值。方法收集乳腺导管原位癌42例资料，对比分析乳腺钼靶及彩超检查的诊断准确率。结果在42例乳腺导管原位癌术前乳腺钼靶摄片检查中，表现单纯钙化点30例，占71％；钙化点伴肿块4例，占10％；钙化点伴结构紊乱3例，占7％；单纯结构紊乱2例，占5％；结构紊乱伴肿块1例，占2％；单纯肿块2例，占5％。全部检查结果中，可见乳腺内有微小密集钙化点的37例，占88％。钼靶检查乳腺导管原位癌检出率为88％，彩超检查检出率为69％（ P＜0．05）。结论乳腺钼靶摄片与彩超诊断乳腺导管原位癌均有较高价值，但乳腺钼靶更有优势。
목적：평개목파X선급B초대유선도관원위암적진단개치。방법수집유선도관원위암42례자료，대비분석유선목파급채초검사적진단준학솔。결과재42례유선도관원위암술전유선목파섭편검사중，표현단순개화점30례，점71％；개화점반종괴4례，점10％；개화점반결구문란3례，점7％；단순결구문란2례，점5％；결구문란반종괴1례，점2％；단순종괴2례，점5％。전부검사결과중，가견유선내유미소밀집개화점적37례，점88％。목파검사유선도관원위암검출솔위88％，채초검사검출솔위69％（ P＜0．05）。결론유선목파섭편여채초진단유선도관원위암균유교고개치，단유선목파경유우세。
Objective To evaluate the diagnostic value for the ductal carcinoma in situ of the breast through the molybdenum target mammographic and sonogram-phic methods .Methods From Ju-ly 2009 to December 2012 ,the clinical data of 42 cases with breast carcinoma in situ were selected into the study .Comparative analysis was conducted in the diagnostic accuracy of mammography and ultra-sound examination .Results In the examination of 42 cases of ductal carcinoma in situ preoperative breast mammography ,breast mammography showed 30 cases of calcification alone were accounted for 71% (30/42) .Calcifications associated with tumor in 4case was (10% ) (4/42) .Calcifications associ-ated with structural disorder 3 cases were accounted for 7% (3/42) .Simple structural disorder in 2 cases was accounted for 5% (2/42) .Structural disorder associated with mass was accounted for 2%(1 /42) .Simple mass in 2 cases was accounted for 5% (2/42) .In all cases ,breast mammography film shows small dense calcifications in 37cases was accounted for 88% (37/42) wit-hin the breast . The diagnosis rate was f 88% (37/42) with breast mammography diagnosis and color Doppler ultra-sound diagnosis rate was 69% (29/42) (P <0 .05) .Conclusion Both molybedenum target mammog-raphy and sonography are useful diagnostic methods of ductal carcinoma in situ of the breast ,but the former is better than the latter .