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目的探讨乳腺纤维腺瘤钼靶X线诊断误诊漏诊的相关因素,以提高X线诊断准确率。方法43例46个乳腺纤维腺瘤均经手术病理证实,均摄取双侧乳房轴、斜位像,均应用计算机成像系统(CR)进行图像采集和图像后处理,图像质量优良。对其X线征象,采用双盲阅片进行回顾性分析。结果28例31个病灶X线做出明确诊断,占67%(31/46),最大直径界于0.5～10cm,其中圆形、类圆形、椭圆型28个,分叶状1个,不规则形1个,巨大肿块1个。2个有斑点状钙化。15例15个病灶漏诊或未做出明确诊断,占33%(15/46)。结论大多数乳腺纤维腺瘤X线可做出明确诊断,不典型者需密切结合临床检查及病灶穿刺活检。
Objective To investigate the related factors of misdiagnosis and missed diagnosis of mammography in the diagnosis of breast fibroadenoma in order to improve the diagnostic accuracy of X-ray. Methods 43 cases of 46 breast fibroadenoma were confirmed by surgery and pathology. Both sides of the breast axis and oblique images were taken. Image acquisition and image postprocessing were performed by computerized imaging system (CR). The image quality was good. X-ray signs of its use of double-blind reading for retrospective analysis. Results A total of 28 lesions of 31 lesions were diagnosed by X-ray, accounting for 67% (31/46) with a maximum diameter of 0.5-10 cm. Among them, 28 were round, round, oval and 1 were lobulated, not The rules of a shape, a huge lumps. 2 speckled calcification. 15 cases of 15 lesions missed or did not make a clear diagnosis, accounting for 33% (15/46). Conclusion Most breast fibroadenoma X-ray can make a clear diagnosis, atypia should be closely combined with clinical examination and biopsy of the lesion.