广东医学2016，Vol.37Issue(11)：1640-1643,4.
全数字化乳腺X线摄影联合乳腺超声对老年乳腺癌的诊断价值
Diagnostic value of full-field digital mammography combined with breast ultrasound in senile breast cancer
摘要
Abstract
Objective To investigate the diagnostic value of full -field digital mammography (FFDM) combined with breast ultrasound ( BUS) in senile breast cancer .Methods 107 cases of senile breast cancer and 27 cases of benign lesions (age≥60 years) were confirmed by pathology.All patients were examined with preoperative FFDM and BUS .The imaging features of senile breast cancer were analysed retrospectively , and compared with pathology results to evaluate the sensitivity , specificity and accuracy of different imaging methods .Results Grade II of invasive carcinoma of no special type was common in this group of patients with senile breast cancer (64/107,59.8%), and usually manifested as mass (83/107), but with low rate of calcificaiton (21/107).The sensitivity, specificity and accuracy for FFDM was 91.6%, 70.4%, 87.3%, respectively, and they were 81.3%, 77.8%, 80.6% for breast ultrasound; and 95.3%, 85.2%, 93.3%for combination of the two imaging modalities .ROC analysis showed that the average area under the curve ( AUC) was 0.810 for FFDM, 0.795 for BUS and 0.903 for combination of the two imaging methods .Conclusion Senile breast cancer is mainly presented as mass , and histological grading shows that Grade II of invasive carcinoma of no special type is the most common.The diagnostic value of FFDM combined with breast ultrasound in senile breast cancer is superior to sin -gle FFDM or BUS.关键词
乳腺癌/老年/全数字化乳腺X线摄影/乳腺超声Key words
breast cancer/old age/full-field digital mammography/breast ultrasound引用本文复制引用
曾辉,秦杰,秦耿耿,梁燮,何子龙,徐维敏,婵娟,廖昕,陈卫国..全数字化乳腺X线摄影联合乳腺超声对老年乳腺癌的诊断价值[J].广东医学,2016,37(11):1640-1643,4.基金项目
广东省科技计划项目 （）
