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頁籤選單縮合
題名 | Ultrasonic and X-ray Mammography in Young Women with Breast Lesions=超音波與X光攝影對年輕女性乳房病變之比較 |
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作者 | 陳訓徹; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19920100、19920200 |
卷期 | 25:1 民81.01-02 |
頁次 | 頁963-967 |
分類號 | 416.226 |
語文 | eng |
關鍵詞 | 超音波; X光攝影; 年輕女性; 乳房病變; |
中文摘要 | 中國婦女乳癌有增加的趨勢,女性也開始重視自我檢查,所以較小腫瘤被漸次發現。較小的腫瘤,單靠視診、觸診無法連到好的診斷率。尤其年輕女性,乳房小而緻密,診斷更行困難。目前非侵襲性檢查以放射線乳房攝影及超音波攝影為主。本院回顧民國76年到78年中,接受放射線檢查,有病理組織報告者306位,小於40歲者112位,接受超音波檢查有病理報告者280位,小於40歲者194位。放射線檢查之敏感度為86.1%,超音波為92.6% (p>0.05)準確性則分別為80.4%及93.2%,對年輕女性(小於40歲者)其敏感則為64.7%:88.9% (p<0.05),正確性為74.1%:93.8% (p<0.001)。但在放射性檢查中,有10例為小於1公分,15例為臨床上摸不到的腫瘤,超音波發現者僅3例。結論:年輕女性有乳房症狀者,超音波檢查明顯優於放射線乳房攝影,但對於摸不到或較小(小於1公分)之腫瘤,放射線有較佳的偵知能力。 |
英文摘要 | The diagnosis of breast lesions in Chinese women were usually made by the clinical examination because the sensitivity and specificity of X-ray mammography (XRM) was low. It would be less accuracy especially for young women who with dense breast tissue. The retrospective analysis ofpatients with breast symptoms in 3 years (1987-1989) was done. Out of 1058 cases investigated with XRM, 306 cases had histology proven. Out of 580 cases investigated by ultrasonic mammography (USM), 280 cases had histology proven. The sensitivity of XRM and USM were 86.1% : 92.6% (p>0.05), and the accuracy rate were 80.4% : 93.2% (p<0.001) respectively. In young age (40 years or less) group, sensitivity were 64.7% : 88.9% (p<0.05), the accuracy rate were 74.1% : 93.8% (p<0.001). In 108 cases of breast cancer detected by XRM, 13.9% of the cancers were nonpalpable lesions, and 9.3% of the cancers were smaller than 1 cm. Out of 68 cases ofbreast cancer detected by USM, 3 cases were smaller than 1 cm. It indicates that USM is a superior method for examining young women with breast lesions than XRM, but not for small lesions. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。