Diagnostic Value of Digital Mammography, Color Dopplor Ultrasonography and Physical Examination for Breast Masses
10.3969/j.issn.1002-1671.2010.04.025
- VernacularTitle:数字钼靶X线摄影、彩色多普勒超声成像及查体对乳腺肿块性病变的诊断价值
- Author:
Jie DE
;
Caiying LI
;
Yanling ZHOU
;
Shuai HAN
;
Qingfeng ZHU
;
Huaijun LIU
- Publication Type:Journal Article
- Keywords:
breast;
breast masses;
digital mammography;
color Dopplor ultrasonography;
physical examination
- From:
Journal of Practical Radiology
2010;26(4):549-552,560
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic value of physical examination,digital mammography and color Dopplor ultrasonography for breast masses.Methods The materials of clinic,digital mammography and color Dopplor ultrasonogrpahy(US)in 92 women(raged from 18～80 years old in age,with average of 49.8 years old)with breast masses confirmed by pathology were retrospectively analysed,including benign in 43 and malignant in 49.Digital mammographic findings including the location,shape,margins,calcifications and the lymph node of axillary of the breast lesions,and color Dopplor ultrasonographic findings including mainly the characteristics of lesions on two-dimensional sonography,the distribution of the internal and peripheral vessels of the lesions were observed,the physical examination mainly observed the skin and nipple,and the margins,texture and movement of the lesions.Results In diagnosing breast masses,the sensitivity,specificity,positive predictive value,negative predictive value and accuracy were 85.71%,79.07%,82.35%,82.93% and 82.61%,respectively with digital mammography,79.59%,83,72%,84.78%,78.26% and 81.52%,respectively with US,71.42%,76.74%,77.78%,70.21%,73.91%,respectively with physical examination,while were 91.84%,93.02%,93.75%,93.3% and 90.91%,respectively in combination with three methods,which were significantly higher than that of each single examination(P＜0.05),but there were no differences between each examination(P＞0.05).Conclusion It can improve the diagnosing accuracy of breast masses by suitable combination of three of digital mammography,color Dopplor ultrasonography and physical examination.
