Objective: To compare the diagnostic efficacy between mammography and high frequency ultrasonography in the examination of breast microcalcifications. Methods: From June 1, 2017 to May 31, 2022, patients who underwent calcification biopsy due to breast microcalcification by mammography in Jiangmen Maternity and Child Health Care Hospital were reviewed. The characteristics, pathological results of the breast microcalcification patients were analyzed. The diagnostic efficacy of mammography and high frequency ultrasonography in the examination of breast microcalcifications were compared. Results: A total of 160 cases of patients with breast microcalcifications were given surgical treatment. The average age of the patients was 38.00+8.80 years. There were 75 cases (46.87%) of single-side lesions and 34 cases (21.25%) of malignant lesions. The most common pathological type of benign calcification was breast adenosis/cystic hyperplasia, accounting for 60%. The most common pathological type of malignant calcification was ductal carcinoma in situ, accounting for 11.87%. The most common type of calcification in benign lesions was round/short rod calcification, accounting for 47.50%. The most common type of calcification in malignant lesions was regional cluster calcification, accounting for 9.38%. The accuracy and specificity of high-frequency ultrasonography in the diagnosis of malignant calcification of breast were 63.13% and 88.50% respectively, and they were 29.38% and 93.33% respectively for mammography. Conclusion: Mammography and high-frequency ultrasonography both have their own advantages in diagnosing breast microcalcifications. In clinical practice, these two examinations should be routinely performed for patients with breast microcalcifications to make more accurate preoperative evaluation and positioning.
LONG Qisheng
,
WANG Lili
,
WANG Ke
,
HUANG Yuanhang
,
HUANG Hui
. Comparative study of mammography and high frequency ultrasonography in examination of breast microcalcifications[J]. Journal of Baotou Medical College, 2024
, 40(3)
: 5
-8
.
DOI: 10.16833/j.cnki.jbmc.2024.03.002
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