Prediction of breast tumor size by mammography and sonography - A breast screen experience

Prediction of breast tumor size by mammography and sonography - A breast screen experience
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DOI:
10.1016/j.breast.2006.04.003
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发表时间:
2007-02-01
期刊:
影响因子:
3.9
通讯作者:
Plant, L.
Plant, L.
中科院分区:
医学2区
文献类型:
--
作者:
Dummin, L. J.;Cox, M.;Plant, L.

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在考虑手术方法和乳腺癌分期时,对乳腺肿瘤大小进行简明的术前评估非常重要。一项对 400 例单灶性浸润性导管癌的回顾性研究,比较了超声检查和乳房 X 光检查测量方式与组织学大小的准确性。肿瘤大小、类型和分级以及其他变量的亚组也被考虑在病变尺寸的模式内相关性中。乳房X光检查(R-2 = 0.74)虽然稍微高估了肿瘤大小,但在对数据进行逻辑分析后似乎比超声检查(R-2 = 0.60)更有用。对于大于 20 毫米的肿瘤,两种成像方式的相关性显着性均降低。超过 50% 的病例根据估计病变进行超声检查;平均低估为 9.9 毫米,范围从 1 毫米到 30 毫米。考虑队列中的两种影像学测量应该可以提高术前肿瘤大小的放射学报告的准确性。 Crown 版权所有 (c) 2006 由 Elsevier Ltd 出版。保留所有权利。
Concise preoperative assessment of breast Tumor size is important when considering surgical approach and the staging of breast cancer. A retrospective study of 400 uni-focal, invasive ductal carcinomas compared the accuracy of sonographic and mammographic measuring modalities with histological size. Sub-groups for tumor size, type and grade, with other variables, were also considered in intramodal correlations of lesion dimension. Mammography (R-2 = 0.74), although slightly over estimating tumor size, appeared to be more useful than sonography (R-2 = 0.60) following logistical analysis of the data. Correlational significance for both imaging modalities decreased for tumors Larger than 20 mm. Sonography under estimated lesions in over 50% of cases; the average underestimate being 9.9 mm, and ranging from 1 mm to 30 mm. Consideration of both imaging measurements in cohort should improve the accuracy of radiological reporting of pre-surgical tumor size. Crown Copyright (c) 2006 Published by Elsevier Ltd. All rights reserved.