ISOLATED CLUSTERED MICROCALCIFICATIONS - DIAGNOSTIC-VALUE OF MAMMOGRAPHY - SERIES OF 400 CASES WITH SURGICAL VERIFICATION
ISOLATED CLUSTERED MICROCALCIFICATIONS - DIAGNOSTIC-VALUE OF MAMMOGRAPHY - SERIES OF 400 CASES WITH SURGICAL VERIFICATION
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DOI：
10.1148/radiology.190.2.8284403
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发表时间：
1994-02-01
期刊：
影响因子：
19.7
通讯作者：
PUJOL, H
中科院分区：
文献类型：
--
作者：
DELAFONTAN, B;DAURES, JP;PUJOL, H
目的：确定乳腺摄影标准在孤立簇状微钙化病例中的诊断价值。材料和方法：回顾了400例孤立簇状微钙化的乳腺摄影研究，这些研究可通过手术证实。进行描述性统计学研究，以评价每个标准相对于组织病理学结果的分布，然后进行多变量研究，以确定统计学显著性标准。七位乳房专家一致认为需要手术。结果：良性病变302例，恶性病变98例。最有用的标准是蠕虫状，线性/分支形状，和不规则大小的微钙化。使用这三个标准建议的活检数量为177，而不是专家建议的172。结论：使用这三个术前标准允许正确诊断大多数此类恶性肿瘤（90%在我们的系列与67%的专家诊断）。
PURPOSE: To determine the diagnostic value of mammographic criteria in cases of isolated clustered microcalcifications. MATERIALS AND METHODS: Four hundred mammographic studies of isolated clustered microcalcifications for which surgical verification was available were reviewed. A descriptive statistical study was performed to evaluate the distribution of each criterion relative to histopathologic results, followed by a multivariate study to determine statistically significant criteria. Seven breast specialists gave a consensus opinion on the need for surgery. RESULTS: There were 302 benign lesions and 98 cancers. The most useful criteria were vermicular form, linear/branching shape, and irregular size of microcalcification. The number of biopsies recommended with use of these three criteria was 177 instead of the 172 recommended by the experts. CONCLUSION: Use of these three preoperative criteria permits correct diagnosis of most such malignancies (90% in our series vs 67% diagnosed by the experts).