临床触诊阴性乳腺癌23例误诊分析
Reasons for misdiagnosis of palpation-negative breast cancer:an analysis of 23 cases
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摘要: 目的:通过总结临床触诊阴性乳腺癌的误诊原因,提高乳腺癌的诊断水平.方法:对23例经病理证实的临床触诊均阴性的乳腺癌误诊过程进行回顾性分析,总结误诊原因.结果:23例初诊均误诊为良性疾病,其中乳腺增生病16例,乳腺增生伴瘤样形成趋势4例,术后瘢痕形成1例,乳头湿疹1例,乳腺导管内乳头状瘤1例.误诊时间分别为3个月至1年.结论:临床触诊阴性乳腺癌往往表现(触诊阴性、辅助检查征象)不典型,临床医生应改进观念,提高警惕,及时运用或联合运用适当的检查方法,可提高诊断准确率.Abstract: Objective:To improve the diagnosis of breast cancer by analyzing the reasons for misdiagnosis of palpation-negative breast cancer.Methods:Twenty-three cases of palpation-negative breast cancer confirmed by pathology were analyzed retrospectively, and the reasons for misdiagnosis were summarized.Results:Of the 23 cases misdiagnosed, 16 cases were proved to have mammary gland ill hyperplasia, 4 cases mammary gland hyperplasia with tumor formation trend, 1 case had postoperative scarring nipple eczema, 1 case Nipple eczema and 1 case breast intraductal papilloma.The misdiagnosis occurred 3 months to 1 year before confirmation.Conclusions:The features of palpation-negative breast cancer are usually not typical.Clinicians should heighten vigilance and use timely or jointly proper inspection methods to improve the diagnosis accuracy of breast cancer.