中国中西医结合外科杂志2011，Vol.17Issue(6)：555-558,4.DOI:10.3969/j.issn.1007-6948.2011.06.001
乳腺肿物超声评分系统设计与病理对照研究
Application of Ultrasonographic Score Evaluation System in Differential Diagnosis of Breast Mass Lesions: Comparison with Pathological Data
田华 1朱旭明 2袁晓雷 1孙建浩 1黄斌 1徐鼎鼎 1李锋 3陈力1
作者信息
- 1. 杭州师范大学医学院附属萧山第一人民医院普外科,杭州,311200
- 2. 浙江大学医学院附属第二医院外科,杭州,310009
- 3. 浙江大学网新科技有限公司研发部,杭州,310003
- 折叠
摘要
Abstract
Objective To discuss the efficiency of ultrasonographic score evaluation system in the differential diagnosis of breast mass. Methods The software of ultrasonographic score evaluation system was designed according to the parameter of Breast Imaging Reporting and Data System(BI-RADS) categories, axillary region lymph node imaging and Doppler ultrasonographic bloodstream image features. Five-hundred and seventy patients of breast mass were evaluated by the system. The breast benign diseases and malignant tumor was analyzed based on the diameter respectively. The Receiver Operating Characteristic Curve (ROC curve) was used in appraising the efficiency of ultrasonographic score evaluation system. Results No significant difference between the benign breast mass and malignant tumor was shown in the group I of diameter lower than 1.0 cm {P> 0.05), and there were significant differences in the other three groups of diameter greater than 1.0 cm. Area under the ROC curve of total groups was 0.884±0.016; with a sensitivity of 86.8% and specificity of 97.5%, the best critical score for differential diagnosis of total groups was 13.50. Conclusions Ultrasonographic score evaluation system is a concise method to differentiate the breast benign mass lesion and malignant tumor before operation. It is of value in the characteristic diagnosis of breast mass, especially in masses of diameter greater than 1.0 centimeter.关键词
超声检查/乳腺肿瘤/病理Key words
Ultrasonography/Breast neoplasms/Pathology分类
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田华,朱旭明,袁晓雷,孙建浩,黄斌,徐鼎鼎,李锋,陈力..乳腺肿物超声评分系统设计与病理对照研究[J].中国中西医结合外科杂志,2011,17(6):555-558,4.
