目的探讨早期乳腺癌的临床特点及诊断方法,为提高早期乳腺癌的诊断率提供参考依据。方法回顾性分析30例早期乳腺癌的临床资料。结果30例病人中乳腺局限性增厚18例(60%),可触及结节者仅11例(37%);有乳腺增生病史伴增生症状加重者22例(73.3%)。钼靶X线单纯钙化12例(40%),肿块结节影5例(17%)。24例(80%)超声检出边界不规则低回声结节,79%的结节内或周围可测到血流信号。11例通过空芯针穿刺获得诊断,19例由超声或钼靶定位后手术活检确诊。结论高危年龄妇女乳腺增生伴症状加重、乳腺局限性增厚是早期乳腺癌的重要表现;彩色多普勒超声对早期乳腺癌的诊断价值优于钼靶X线检查;及时对乳腺结节、局限性增厚、钼靶X线致密影等可疑病灶行组织学穿刺活检或超声以及钼靶定位后手术活检,可提高早期乳腺癌的诊断率。 Objective To investigate the clinical features and diagnostic methods of early breast cancer and provide reference for improving the diagnosis rate of early breast cancer. Methods Retrospective analysis of 30 cases of early breast cancer clinical data. Results In 30 patients, there were 18 cases (60%) with localized thickening of mammary gland and only 11 cases (37%) with accessible tuberosity. Twenty-two cases (73.3%) had history of mammary gland hyperplasia accompanied by hyperplasia. Molybdenum target X-ray calcification in 12 cases (40%), mass nodules in 5 cases (17%). Twenty-four patients (80%) had irregular hypoechoic nodules on the border, and blood flow signals were measured in or around 79% of nodules. Eleven cases were diagnosed by hollow core needle aspiration and 19 cases were confirmed by surgical biopsy with ultrasound or mammography. Conclusion High-risk age women with hyperplasia of mammary glands symptoms aggravate, breast hyperplasia is an important manifestation of early breast cancer; color Doppler ultrasound in the diagnosis of early breast cancer is better than mammography X-ray examination; timely breast nodules, limitations Thickening, molybdenum target X-ray dense film and other suspicious lesions line biopsy or ultrasound biopsy and mammography biopsy biopsy can improve the early diagnosis of breast cancer.