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目的:探讨不能触及的早期乳腺癌的诊断和治疗价值。方法:1998～2008年200例查体不可触及早期乳腺癌、肿瘤最大直径≤1 cm、排除有淋巴结转移和血性转移患者,采用彩超检查、钼靶X射线摄片、有乳头溢液者均行乳管造影、局部切除活检(包括mammotome)诊断。结果:所有200例经病理检查证实为乳腺癌患者钼靶示结节或钙化、结构紊乱等提示乳癌146例,良性肿瘤29例,未见占位性病变25例。超声诊断乳癌137例,良性病变26例,未见占位性病变37例。12例乳头溢液乳管镜均示占位性病变,经定位活检确诊。180例患者使用Mammotome微创活检,显示180例肿瘤,无一漏检。结论:钼靶、超声、mommotome手术活检是早期发现乳腺癌的重要手段,重视早期癌的体征、联合检诊可提高乳癌的早诊率。
Objective: To investigate the diagnosis and treatment value of unreachable early breast cancer. Methods: 200 cases from 1998 to 2008 were not detected early breast cancer examination, the largest diameter of tumor ≤ 1 cm, excluding patients with lymph node metastasis and hematogenous metastasis, using color Doppler ultrasound, mammography X-ray radiography, nipple discharge were in line Ductal angiography, partial excision biopsy (including mammotome) diagnosis. Results: All 200 cases confirmed by histopathology as breast cancer patients with molybdenum target nodules or calcification, structural disorders prompted 146 cases of breast cancer, benign tumors in 29 cases, no space-occupying lesions in 25 cases. There were 137 cases of ultrasound diagnosis of breast cancer, 26 cases of benign lesions, no lesions in 37 cases. 12 cases of nipple discharge ducts mirror were space-occupying lesions confirmed by biopsy. 180 patients with Mammotome minimally invasive biopsy showed that 180 cases of tumors, none of missing. Conclusion: Molybdenum target, sonography and mommotome biopsy are the important means to detect breast cancer in the early stage, and attach importance to the signs of early cancer. Combined examination can improve the diagnosis rate of breast cancer.