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目的:探索早期乳腺癌的临床特点和诊断方法。方法:回顾性分析46例早期乳腺癌的临床资料。结果:46例患者中表现为乳腺痛及肿块者30例,以乳房肿块就诊者16例。钼靶照片14例,诊断为乳腺癌5例(35.7%)。42例作彩色超声检查,发现不规则低回声结节37例(89.0%),部分肿块内可见点状强回声,周围有蟹足状,血流增加。细针穿刺细胞学检查40例,23例发现癌细胞,直接住院,术中冰冻切片决定手术方式;23例门诊先行切除活检后住院治疗。结论:高危妇女表现为乳腺增生,用药不好转、症状加重者,应怀疑乳腺癌,首选彩色超声检查,诊断价值优于钼靶照片。有肿块者结合穿刺细胞学检查,可提高早期乳腺癌的诊断率。
Objective: To explore the clinical features and diagnosis of early breast cancer. Methods: A retrospective analysis of 46 cases of early breast cancer clinical data. Results: Among the 46 patients, there were 30 cases with breast pain and lumps and 16 cases with breast lumps. Molybdenum target picture in 14 cases, diagnosed as breast cancer in 5 cases (35.7%). Forty-two patients underwent color sonography and found that 37 cases (89.0%) had irregular hypoechoic nodules. Some of the masses showed punctate echoes around crab legs and increased blood flow. Fine needle aspiration cytology in 40 cases, 23 cases of cancer cells, direct hospitalization, intraoperative frozen sections determine the surgical approach; 23 cases of out-patient first biopsy after hospitalization. Conclusion: High-risk women showed hyperplasia of mammary glands, the medication was not improved, the symptoms were aggravated, breast cancer should be suspected, and color ultrasound was the first choice. The diagnostic value was better than molybdenum target photos. A mass with biopsy cytology can improve the diagnosis of early breast cancer.