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目的：分析乳腺Ｘ线钼靶照像误诊病例影像特点以降低误诊率。方法：回顾近２年来经Ｘ线诊断后行乳腺手术并经病理证实的３２例误诊病例。结果：３２例中有１４例恶性病诊为良性，误诊率为５．９％，１８例良性病诊为恶性，误诊率为９．０％，乳腺单纯癌占恶性误诊率的４２．９％，其次为浸润性导管癌，占２８．６％。浆细胞乳腺炎占良性病误诊率３３．３％。结论：在乳腺Ｘ线片上只显示圆形肿块的单纯癌及髓样癌易误诊为纤维腺瘤。浸润性导管癌容易漏诊。浆细胞乳腺炎与乳腺癌易于混淆。但认真分析后，在Ｘ线片上还是可以区别的。
Objective: To analyze the imaging features of misdiagnosis cases of mammography mammography to reduce the misdiagnosis rate. METHODS: We retrospectively reviewed 32 cases of misdiagnosis of mammary glands that were diagnosed after X-ray diagnosis in the past 2 years and confirmed by pathology. Results: Among the 32 cases, 14 cases were diagnosed as benign malignant diseases, misdiagnosis rate was 5.9%, 18 cases were diagnosed as malignant benign diseases, misdiagnosis rate was 9.0%, breast cancer accounted for 42.9% of malignancy misdiagnosis rate. , followed by invasive ductal carcinoma, accounting for 28.6%. Plasma cell mastitis accounted for 33.3% misdiagnosis of benign disease. CONCLUSIONS: Simple and medullary carcinomas that show only circular masses on mammograms are often misdiagnosed as fibroadenoma. Invasive ductal cancer is easily missed. Plasma cell mastitis is easily confused with breast cancer. However, after careful analysis, the X-ray film can still be distinguished.