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动态磁共振成像在早期乳腺癌诊断中的临床研究
引用本文:范培芝,张超杰,刘鹏,张志功,唐梅徕,顾晓文,郑维,李艳春. 动态磁共振成像在早期乳腺癌诊断中的临床研究[J]. 医学与哲学(人文社会医学版), 2011, 0(11): 42-44
作者姓名:范培芝  张超杰  刘鹏  张志功  唐梅徕  顾晓文  郑维  李艳春
作者单位:[1]湖南省人民医院(湖南师范大学第一附属医院)乳甲外科,湖南长沙410005 [2]湖南省人民医院(湖南师范大学第一附属医院)放射科,湖南长沙410005 [3]湖南省人民医院(湖南师范大学第一附属医院)胸外科,湖南长沙410005 [4]湖南省人民医院(湖南师范大学第一附属医院)病理科,湖南长沙410005
基金项目:长沙市科技局资助课题,项目编号:K0802134-31
摘    要:
评价动态增强磁共振成像在早期乳腺癌诊断中的价值。随机选取2008年10月到2011年6月本院83例经B超或B超联合钼靶检查阴性的中青年女性行乳腺MRI检查,对MRI发现可疑结节病灶的患者进行手术活检,通过病理诊断来评价MRI在诊断早期乳腺癌的准确性和临床应用价值。83例中青年女性中,发现病变7例(8.4%),癌前改变4...

关 键 词:乳腺癌  MRI  钼靶  诊断

Dynamic Magnetic Resonance Imaging in the Diagnosis of Early Breast Cancer Research
Affiliation:FAN Pei-zhi, ZHANG Chao-jie, LIU Peng ,et al. Hunan Provincial People's Hospital ( Hunan Normal University First Affiliated Hospital ), Changsha 410005 ,China
Abstract:
To evaluate dynamic contrast--enhanced magnetic resonance imaging(MRI) in early breast cancer diagnosis, 83 cases were randomly selected from October 2008 to June 2011 in our hospital examined by B--ultrasonic or B--ultrasonic combining mammography--negative young women implement breast MRI. Patients with suspicious nodules in MRI applied surgical biopsy and pathological diagnosis to evaluate the accuracy of MR/in the diagnosis of early breast cancer and clinical application. Among the 83 eases of young women, lesions were found in 7 patients (8.4% ) precancerous changes in 4 cases (4.8%) , carcinoma in 3 cases (3.6%), of which only B--ultrasonic examination of 58 cases, MRI found in 1 case DCIS, 1 case mucinous carcinoma, 2 cases of severe atypical hyperplasia; B--ultrasonic and mammography--negative 25 cases of female breast MRI examination, we found one case of DCIS and two cases of severe atypical hyperplasia. Three cases of breast cancer surgery in 2 cases Mediator, modified radical mastectomy in 1 case, 4 cases of atypical hyperplasia underwent lobe resection. The B--ultrasonic and mammography or both joint inspection negative young women implement breast MRI, can significantly improve early breast cancer detection rate, thus contributing to improve breast--conserving rate.
Keywords:breast cancer   MRI   mammography   diagnosis
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