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目的分析乳腺X线检查误漏诊病例的影像表现,以提高乳腺疾病的诊断水平。方法回顾性分析2009~2012年误漏诊病例14例,均进行X线检查,经术后病理证实,分析误漏诊原因。结果颗粒细胞瘤2例误诊乳腺癌,哺乳期乳腺癌误诊乳腺炎症1例,黏液腺癌误诊为乳腺腺纤维瘤2例,多中心乳腺癌误诊单病灶1例,脂肪坏死误诊为乳腺癌3例,放射状瘢痕2例误诊为乳腺癌,1例淋巴瘤误诊为乳腺癌,2例腺纤维瘤漏诊。结论乳腺X线检查有一定的限度,局部点压放大摄影能更好地显示病变的细节,乳腺良恶性病变在临床表现及X线征象上均有重叠性,结合临床及多种检查方法联合诊断有助于提高乳腺疾病的诊断准确率。
Objective To analyze the imaging findings of cases of missed diagnosis of mammography in order to improve the diagnosis of breast diseases. Methods Retrospective analysis of 2009 to 2012 misdiagnosis cases in 14 cases, were X-ray examination, confirmed by postoperative pathology, analysis of misdiagnosis causes. Results 2 cases of granulosa cell carcinoma were misdiagnosed as breast cancer, 1 case of breast cancer misdiagnosed as breast inflammation, 2 cases of mucinous adenocarcinoma misdiagnosed as mammary adenofibroma, 1 case misdiagnosed as single tumor of polyclinic breast cancer, 3 cases of fat necrosis misdiagnosed as breast cancer , 2 cases of radial scar misdiagnosed as breast cancer, 1 case of lymphoma misdiagnosed as breast cancer, 2 cases of adenofibroma missed diagnosis. Conclusion Breast X-ray examination to a certain extent, the local point magnification photography can better show the details of the lesion, benign and malignant breast lesions in clinical manifestations and X-ray signs are overlapping, combined with clinical and multiple diagnostic methods combined diagnosis Help to improve the diagnostic accuracy of breast disease.