The role of experience in physical examination for early detection of breast cancer
- VernacularTitle:健康体检中乳腺物理检查经验对乳腺癌早期诊断的意义
- Author:
Shengsheng WANG
;
Ying XU
;
Shaolan CHEN
;
Gaowa SHAREN
;
Fuxia MA
- Publication Type:Journal Article
- Keywords:
Physical examination;
Breast neoplasms;
Early diagnosis
- From:
Chinese Journal of Health Management
2008;2(5):278-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective To highlight the role of physician's experience in physical examination for the early diagnosis of breast cancer.Methods Data of physical examination of mammary glands in 1785 female were analyzed and compare with the uhrasonography and mammngraphy results.Results Of the 31 breast cancers confirmed by pathologic examination after operation,2 cases were bilateral breast cancers and 1 was nonpalpable.9 of 41 cases which suspected by inspection were confirmed as breast cancers.The significant difference was found comparing with control group by X2 test (X2=100.5,P＜0.05).The 34 breast cancers were found in 2089 focus in palpation and there were 6 minimal cancers (diameter≤1.0 cm) among them.Some cancers were found in special location with no malignant clinical manifestation.The rate of missed diagnosis of ultrasonography and rnammography is 16.1% and 19.4%,respectively.Conclusions Physical examination plays an important role in the early detection of breast cancer and physician's experience is a major determinant for avoiding misdiagnosis.
