Research of the Consistency between Pathology and the Single and Combined Diagnosis of Negative Breast Cancer by Ultrasonography and Mammography
10.11969/j.issn.1673-548X.2018.03.019
- VernacularTitle:高频超声、钼靶X线单一及联合诊断触诊阴性乳腺癌与病理的一致性
- Author:
Fucai QIN
1
;
Yinzhen LI
;
Ming YE
Author Information
1. 湖北省中西医结合医院超声影像科
- Keywords:
High frequency ultrasound;
Molybdenum target radiography;
Palpation negative;
Breast cancer
- From:
Journal of Medical Research
2018;47(3):74-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the consistency between pathology and the single and combined diagnosis of negative breast cancer by ultrasonography and mammography.Methods 90 clinical case data of patients with palpable negative breast tumors and mammography revealed small calcifications were retrospective analyzed.All patients were received the high frequency ultrasound.The value of two methods and combined diagnosis in the diagnosis of breast cancer with palpation negative were compared,which the pathological biopsy was the gold standard.Results The pathological showed that there were 58 cases of benign tumors,32 cases of malignant tumors,10 cases of stage 0,18 cases of stage Ⅰ,4 cases of stage Ⅱ.The high frequency ultrasonography was consistent with pathological(Kappa =0.641).The AUC of diagnosiing the breast cancer was 0.775.The molybdenum target radiography was consistent with pathological (Kappa =0.725),and the AUC was 0.830.The high frequency ultrasonography combined with molybdenum target radiography was highly consistent with pathological(Kappa =0.879),and the AUC was 0.934.The accuracy of combined diagnosis was higher than that of high frequency ultrasound (P ＜ 0.05) and molybdenum target radiography(P ＞ 0.05).Conclusion The high frequency ultrasonography and molybdenum target radiography have advantages in the diagnosis of palpable negative breast cancer.The joint diagnosis helps to achieve complementary strengths,has high consistency with pathology,and help to improve the diagnostic accuracy.
