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目的分析触诊阴性乳腺癌的临床特点及诊断方法,提高临床上对触诊阴性乳腺癌的认识及警惕。方法回顾性分析20例触诊阴性乳腺癌患者的临床资料。结果 20例临床均未触及肿块,超声或数字化乳腺X线摄像(DR)检查提示乳腺内病变而行活检病理证实为乳腺癌。其中0期乳腺癌6例(30%),Ⅰ期11例(55%),Ⅱ期2例(10%),Ⅲ期1例(5%)。结论临床触诊阴性乳腺癌大多数为早期癌,临床应提高对触诊阴性乳腺癌认识,超声或DR以及联合应用可提高触诊阴性乳腺癌的早期诊断率。
Objective To analyze the clinical features and diagnostic methods of palpation-negative breast cancer and to improve the understanding and vigilance of palpation-negative breast cancer clinically. Methods The clinical data of 20 patients with palpation of negative breast cancer were retrospectively analyzed. Results None of the 20 cases were clinically exposed. Ultrasound or digital mammography (DR) examination revealed intraductal lesions and biopsy confirmed breast cancer. There were 6 cases (0%) of stage 0 breast cancer, 11 cases of stage I (55%), 2 cases of stage II (10%) and 1 case of stage III (5%). Conclusion The majority of clinical palpation-negative breast cancer is early stage cancer, and the clinical diagnosis of palpation-negative breast cancer should be improved. The early diagnosis of palpation-negative breast cancer can be improved by using ultrasound or DR as well as combined application.