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《Radiologic Practice》 2008-01
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Routine Full-field Digital Mastography Combined with Three-Dimensional Digital Localization for Diagnosing Breast Cancer

WANG An-min,ZHU Shaoping,ZHANG Miao-fang,et al.Department of Radiology,Hexian Memorial Hospital of Panyu District,Guangzhou 511400,P.R.China  
Objective:To investigate the value of full-field digital X-ray mastography combined with three-dimensional digital localization in breast cancer survey and diagnosis.Methods:One thousand and eight hundred and ninety cases during March 2005 to Decenber 2006 were examined by full-field digital X-ray mastography on cranio-caual position (CC position) and middle-lateral oblique position (MLO position).Those cases with suspect breast cancer by routine film reading but negative clinical palpation were further performed three-dimensional digital localization and micro-biopsy under x-ray orientation.Results.Fifty-nine of 1890 cases were diagnosed with breast cancer and confirmed by pathology after tumor excision.Fifty-one cases with positive mass palpation comprised of infiltrative duct carcinoma (33 cases),infiltrative lobular carcinoma (8 cases),mucoid adenocarcinoma (6 cases),medullary carcinoma (4 cases).Eight cases with negative palpation were found with duct carcinoma in situ (3 cases),duct infiltrative carcinoma (3 cases) and lobular carcinoma in situ (2 cases).Conclusion:Full-field digital X-ray mastography can clearly show direct and indirect X-ray signs of breast cancer.When combine with three-dimension digital localization and biopsy,breast cancer can be easily diagnosed.It is very important especially for those sub-clinical patients with negative palpation and suspect mastography.
【CateGory Index】: R737.9
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