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目的:探讨乳腺囊内乳头状癌(IPC)DR钼靶摄影的误诊原因,以提高对此病的诊断水平。方法:回顾性分析接受乳腺钼靶检查并经手术病理组织检查及彩超证实为误诊15例患者的影像资料。结果:IPC误诊为乳腺导管内乳头状瘤5例,乳腺纤维腺瘤为2例,乳腺囊肿为2例,炎症为2例,乳腺导管内乳头状瘤、乳腺纤维腺瘤、乳腺囊肿误诊为IPC为4例。结论:通过IPC误诊病例分析其原因,以便在诊断此类疾病吸取教训,更应该结合患者临床症状、触诊包块性质,根据乳腺钼靶片的直接征象以及间接征象,应用DR图像后处理技术,结合彩超、病理组织检查及分泌物实验室检查以进一步降低误诊率。
Objective: To investigate the causes of misdiagnosis of intraductal papillary carcinoma (IPC) DR mammography in order to improve the diagnosis of this disease. Methods: A retrospective analysis of mammography and pathological examination by biopsy and color Doppler ultrasound misdiagnosis of 15 patients with imaging data. Results: IPC misdiagnosed as ductal papilloma in 5 cases, 2 cases of breast fibroadenoma, 2 cases of breast cyst, inflammation in 2 cases, intraductal papilloma, breast fibroadenoma, breast cyst misdiagnosed as IPC 4 cases. Conclusion: The causes of misdiagnosed cases of IPC in order to learn the lessons learned in the diagnosis of such diseases, but should be combined with the clinical symptoms of patients, the nature of palpation mass, according to breast mammography direct and indirect signs, the application of DR image processing technology , Combined with ultrasonography, histopathology and secretions laboratory tests to further reduce the misdiagnosis rate.