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目的:评估磁共振(MRI)检查在乳腺癌中的诊治价值。方法:53例临床和(或)钼靶摄片上疑有乳腺恶性病变的女性病人,行MRI检查;所有病人都接受外科手术和病理学诊断。结果:41例乳腺癌病人中,MRI检查检出乳腺癌37例,检出率为90.24%;钼靶摄片检出乳腺癌33例,检出率为80.48%;二者有显著统计学意义(P<0.05);有2例乳腺癌病人,因术前MRI提示有多发病灶而未能行保乳手术。结论:增强MRI诊断乳腺病变有较高的敏感性,对钼靶摄片评价较为困难的致密(型)乳腺尤有一定独到之处,二者联合使用可大为提高乳腺癌的诊断率。MRI检查有利于乳腺癌分期并指导其临床治疗。
Objective: To evaluate the value of magnetic resonance imaging (MRI) in the diagnosis and treatment of breast cancer. METHODS: Fifty-three female patients with suspected malignant mammary lesions on clinical and/or mammographic radiographs underwent MRI. All patients underwent surgical and pathological diagnosis. Results: Of the 41 breast cancer patients, 37 cases were detected with MRI, and the detection rate was 90.24%; 33 cases were detected with mammography, and the detection rate was 80.48%; both had significant statistical significance. (P<0.05); There were 2 cases of breast cancer patients, because of preoperative MRI prompted multiple lesions and failed breast-conserving surgery. Conclusion: Enhanced MRI has a higher sensitivity in diagnosing breast lesions, and it is particularly unique in compact (mammal) mammary glands where it is difficult to evaluate mammograms. Combined use of the two can greatly improve the diagnostic rate of breast cancer. MRI examination is beneficial to staging breast cancer and guiding its clinical treatment.