国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2013年
3期
153-156
,共4页
王永南%张安秦%万舰%张嫣%陈中扬%姜雨刚%卢奕嘉
王永南%張安秦%萬艦%張嫣%陳中颺%薑雨剛%盧奕嘉
왕영남%장안진%만함%장언%진중양%강우강%로혁가
乳腺肿瘤%癌%磁共振成像%腋窝淋巴结转移
乳腺腫瘤%癌%磁共振成像%腋窩淋巴結轉移
유선종류%암%자공진성상%액와림파결전이
Breast neoplasms%Carcinoma%Magnetic resonance imaging%Axillary lymph node metastasis
目的 探讨乳腺MRI与彩超对腋窝淋巴结转移的诊断价值.方法 回顾性分析136例术前临床分期为Ⅰ-ⅢA期并已经行乳腺MRI检查的乳腺癌患者的临床资料,分析MRI、彩超对腋窝淋巴结的诊断及术后病理结果.结果 乳腺MRI对腋窝淋巴结转移诊断的敏感性、特异性和准确性分别为83.3％、88.6％和86.3％,彩超诊断的敏感性、特异性和准确性分别为73.1％、76.7％和75.0％.乳腺MRI诊断早期乳腺癌腋窝淋巴结转移状态的敏感性、特异性和准确性均优于乳腺彩超.乳腺MRI在评价年龄≥50岁患者的腋窝淋巴结敏感性、特异性及准确性分别为70.0％、77.8％和75.0％,而＜50岁患者的敏感性、特异性及准确性分别为85.7％、92.3％和88.9％.乳腺MRI诊断年龄＜50岁早期乳腺癌患者腋窝淋巴结转移状态的敏感性、特异性和准确性均优于≥50岁的患者.结论 乳腺MRI评估早期乳腺癌腋窝淋巴结转移的状态具有重要价值,特别是对于＜50岁的早期乳腺癌患者,可为制定准确的临床治疗方案提供有科学的依据.
目的 探討乳腺MRI與綵超對腋窩淋巴結轉移的診斷價值.方法 迴顧性分析136例術前臨床分期為Ⅰ-ⅢA期併已經行乳腺MRI檢查的乳腺癌患者的臨床資料,分析MRI、綵超對腋窩淋巴結的診斷及術後病理結果.結果 乳腺MRI對腋窩淋巴結轉移診斷的敏感性、特異性和準確性分彆為83.3％、88.6％和86.3％,綵超診斷的敏感性、特異性和準確性分彆為73.1％、76.7％和75.0％.乳腺MRI診斷早期乳腺癌腋窩淋巴結轉移狀態的敏感性、特異性和準確性均優于乳腺綵超.乳腺MRI在評價年齡≥50歲患者的腋窩淋巴結敏感性、特異性及準確性分彆為70.0％、77.8％和75.0％,而＜50歲患者的敏感性、特異性及準確性分彆為85.7％、92.3％和88.9％.乳腺MRI診斷年齡＜50歲早期乳腺癌患者腋窩淋巴結轉移狀態的敏感性、特異性和準確性均優于≥50歲的患者.結論 乳腺MRI評估早期乳腺癌腋窩淋巴結轉移的狀態具有重要價值,特彆是對于＜50歲的早期乳腺癌患者,可為製定準確的臨床治療方案提供有科學的依據.
목적 탐토유선MRI여채초대액와림파결전이적진단개치.방법 회고성분석136례술전림상분기위Ⅰ-ⅢA기병이경행유선MRI검사적유선암환자적림상자료,분석MRI、채초대액와림파결적진단급술후병리결과.결과 유선MRI대액와림파결전이진단적민감성、특이성화준학성분별위83.3％、88.6％화86.3％,채초진단적민감성、특이성화준학성분별위73.1％、76.7％화75.0％.유선MRI진단조기유선암액와림파결전이상태적민감성、특이성화준학성균우우유선채초.유선MRI재평개년령≥50세환자적액와림파결민감성、특이성급준학성분별위70.0％、77.8％화75.0％,이＜50세환자적민감성、특이성급준학성분별위85.7％、92.3％화88.9％.유선MRI진단년령＜50세조기유선암환자액와림파결전이상태적민감성、특이성화준학성균우우≥50세적환자.결론 유선MRI평고조기유선암액와림파결전이적상태구유중요개치,특별시대우＜50세적조기유선암환자,가위제정준학적림상치료방안제공유과학적의거.
Objective To explore the diagnostic value of MRI special use of breast and uhrasonography in axillary lymph node metastasis of early breast cancer.Methods Clinical data of 136 Ⅰ-Ⅲ A breast cancer patients accepted MRI examination before surgery had been retrospectively studied,analysing diagnostic value of MRI and ultrasonography in axillary lymph node metastasis of early breast cancer.Results The sensitivity,specificity,and accuracy obtained by MRI were 83.3％,88.6％ and 86.3％.And these data of ultrasonography were 73.1％,76.7％ and 75.0％.The sensitivity,specificity,and accuracy obtained MRI were better than that of ultrasonography.The sensitivity,specificity,and accuracy of ≥ 50 years old patients were 70.0％,77.8％ and 75.0％.And ＜ 50 years old patients were 85.7％,92.3％ and 88.9％.The sensitivity,specificity,and accuracy of ＜ 50 years old patients were better than ≥ 50 years old patients.Conclusions The MRI special use of breast have an important value in axillary lymph node metastasis of early breast cancer,especially to gounger than 50 years old patients.It can provide a scientific basis of the clinical accurate treatment for early breast cancer patients.
