摘要
Abstract
ObjectiveTo compare the accuracy and clinical signiifcance of different screening methods for breast cancer among Xinjiang Uigur women.Method3706 cases of Xinjiang Uigur women involved in the breast cancer screening. According to the screening data, different screening methods were designed, which included CBE, HUS, MAM, HUS+MAM and HUS→MAM, accuracy of those methods were compared with parallel blinded study, the pathological diagnosis and one year follow-up results were used as the golden standard.ResultIn the result of single screening method, the sensitivity of MAM was the highest, which was 80.95%, and the sensitivity of CBE was the lowest, which was 57.14%; the positive predictive value of MAM was the lowest, which was 31.48%, and the positive predictive value of CBE was the highest, which was 52.17%. Among those 5 screening methods, the sensitivity of HUS+MAM was the highest, which was 95.24%, but its positive predictive value was the lowest, which was 29.85%; the screening method of HUS→MAM had higher sensitivity than single screening methods, which was 90.47%, and its positive predictive value was the highest among the other 4 methods, which was 55.88%.ConclusionThe screening method of HUS→MAM shows relatively high sensitivity and positive predictive value, it may be worthy of consideration for the breast cancer screening especially in economically underdeveloped areas.关键词
乳腺癌/临床扪诊/高频超声/乳腺X线摄影Key words
Breast cancer/Clinical breast examination/High-frequency ultrasonography/Mammography
