临床误诊误治2015,Vol.28Issue(12):46-50,5.DOI:10.3969/j.issn.1002-3429.2015.12.020
误诊疾病数据库2005—2012年单病种误诊文献研究:乳腺癌
Research on 2005—2012 Single Disease Misdiagnosis Document of Misdiagnosed Disease Database:Breast Cancer
摘要
Abstract
Breast cancer is one of the most common malignant tumors worldwide, and is an important cause of death in women. This paper analyzes 66 misdiagnosis references of breast cancer published in Chinese medical journals, which are included in China's misdiagnosed disease database from 2005 to 2012. The total misdiagnosed cases are 757, including 21 ref-erences involving the misdiagnosis rate, with a total of 1804 cases, including 337 cases of misdiagnosed cases with a misdiag-nosis rate of 18. 68%;there are other 45 misdiagnosis papers including 420 cases of misdiagnosed cases. Some cases are mis-diagnosed as 19 kinds of diseases, on top of which in order are mammary gland hyperplasia, breast fibroadenoma, mastitis, and breast benign tumor. Misdiagnosis analysis shows that the cause of misdiagnosis is insufficient experience and lack of un-derstanding of the disease, accounting for 37. 23%, followed by not choosing specific inspection items and imaging diagnosis cause, each accounting for 21. 17%. The misdiagnosis consequences are all Ⅱ level; that is misdiagnosis can cause longer course of the disease. It is suggested that clinicians should raise awareness of breast cancer and pay attention to health educa-tion, attach great importance to the interrogation and examination, and as quickly as possible choose the appropriate medical examination, such as ultrasound, molybdenum target X-ray, breast MRI, etc. If necessary, pathologic examination should be performed for early diagnosis and treatment.关键词
乳腺肿瘤/误诊/乳腺增生/纤维瘤/乳腺炎Key words
Breast tumor/The misdiagnosis/Hyperplasia of mammary gland/Fibroma/Mastitis分类
医药卫生引用本文复制引用
刘兆喆,李秋华,郭放,谢晓冬..误诊疾病数据库2005—2012年单病种误诊文献研究:乳腺癌[J].临床误诊误治,2015,28(12):46-50,5.基金项目
科技部十二五重大新药创制平台子课题(2012ZX-09303016-002) (2012ZX-09303016-002)
2012年辽宁省科技攻关计划课题(2012225019) (2012225019)