Ultrasound for accurate measurement of invasive breast cancer tumor size
Ultrasound for accurate measurement of invasive breast cancer tumor size
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DOI：
10.1111/j.1075-122x.2006.00249.x
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发表时间：
2006-05-01
期刊：
影响因子：
2.1
通讯作者：
Abdelwahab, A
中科院分区：
文献类型：
--
作者：
Shoma, A;Moutamed, A;Abdelwahab, A
术前准确评估肿瘤大小对于选择合适的治疗方法非常重要，特别是随着新辅助和微创治疗的使用越来越多。乳腺超声检查越来越多地被乳腺外科医生用作其基本临床评估的一部分。我们进行了这项研究，比较临床评价，乳腺X线摄影和乳腺超声检查评估乳腺肿瘤的大小。对124例连续的可触及乳腺癌患者进行了前瞻性分析。选择性地选择属于T1和小T2的肿瘤肿块。所有妇女都进行了临床、乳房X线和超声检查肿瘤大小的评估。将测量结果与手术标本的病理肿瘤大小进行比较。乳腺X线和超声测量都倾向于低估肿瘤大小，而临床评估则倾向于高估肿瘤大小，超声在确定肿瘤大小方面明显更准确。45.2%的乳腺超声测量病例、28.2%的乳腺X线摄影测量病例和14.5%的临床测量病例的最大肿瘤直径在病理肿瘤大小的2 mm范围内。这些数据表明，在评估乳腺癌大小方面，超声比临床乳腺检查和乳房X线摄影更准确。超声评估应作为一个准确的辅助外科医生在门诊乳腺诊所的临床检查。
Accurate presurgical assessment of tumor size is important for choosing appropriate treatment, especially with the increasing use of neoadjuvant and minimally invasive therapy. Breast sonography is increasingly used by breast surgeons as a part of their basic clinical evaluation. We undertook this study to compare clinical evaluation, mammography, and breast sonography for evaluating breast tumor size. A prospective analysis of 124 consecutive patients with palpable breast cancer was performed. Tumor masses belonging to T1 and small T2 were selectively selected. All women had clinical, mammographic, and sonographic assessment of tumor size. Measurements were compared to the pathologic tumor size of the surgical specimen. Both mammographic and sonographic measurements tend to underestimate tumor size, while clinical assessment tends to overestimate it. Ultrasound was significantly more accurate in determining tumor size. The maximal tumor diameter measured was within 2 mm of the pathologic tumor size in 45.2% of cases measured by breast ultrasound, 28.2% of cases measured by mammography, and 14.5% of cases measured clinically. These data suggest that ultrasound is more accurate than clinical breast examination and mammography in assessing breast cancer size. Ultrasound assessment should be used by surgeons as an accurate adjunct to clinical examination in outpatient breast clinics.