Analysis of the diagnostic value of conventional ultrasound and mammography in different types of breast masses

CHEN Jing; HE Zhiyan; YAO Minghua; SHAO Sihui; YANG Xueting; LIU Yan; SU Yijin; WU Rong

doi:10.19732/j.cnki.2096-6210.2021.01.001

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Analysis of the diagnostic value of conventional ultrasound and mammography in different types of breast masses

更新时间：2025-12-15

- Analysis of the diagnostic value of conventional ultrasound and mammography in different types of breast masses
- Vol. 30, Issue 1, Pages: 1-5(2021)
- 作者机构：
  
  1. 上海交通大学附属第一人民医院超声医学科,上海,200080
  2. 上海交通大学附属第一人民医院放射科,上海,200080
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2021.01.001
  CLC：
- Published Online：28 February 2021，
  
  Published：28 February 2021
- 稿件说明：
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陈静,何之彦,姚明华,等. 比较分析常规超声及乳腺X线摄影对不同类型乳腺肿块的诊断价值[J]. 肿瘤影像学, 2021, 30(1): 1-5 https://doi.

org/10.19732/j.cnki.2096-6210.2021.01.001
陈静,何之彦,姚明华,等. 比较分析常规超声及乳腺X线摄影对不同类型乳腺肿块的诊断价值[J]. 肿瘤影像学, 2021, 30(1): 1-5 https://doi. DOI： 10.19732/j.cnki.2096-6210.2021.01.001.

org/10.19732/j.cnki.2096-6210.2021.01.001 DOI：

摘要

目的：

比较分析常规超声及乳腺X线摄影对不同类型乳腺肿块的诊断价值。

方法：

回顾并分析2013年1月2019年8月于上海交通大学附属第一人民医院行乳腺超声及乳腺X线摄影检查的1 600例患者资料。以病理学检查结果为金标准，探讨常规超声及乳腺X线摄影对不同类型乳腺肿块的诊断价值。

结果：

共有867个良性肿块，733个恶性肿块。非致密型乳腺491例，致密型乳腺1 109例。常规超声对乳腺肿块诊断灵敏度显著高于乳腺X线摄影，乳腺X线摄影的诊断特异度高于常规超声，差异均有统计学意义（

＜0.05）。对于致密型乳腺及年轻患者（40岁），常规超声诊断的灵敏度显著高于乳腺X线摄影，乳腺X线摄影特异度显著高于常规超声（

＜0.05）。对于非致密型乳腺及＞40岁患者，常规超声灵敏度高于乳腺X线摄影，乳腺X线摄影特异度高于常规超声，但差异均无统计学意义（

＞0.05）。两种方法联合在不同年龄及不同乳腺类型患者中诊断的灵敏度均高于单一检查方法，而特异度低于单一检查方法，差异均有统计学意义（

＜0.001）。

结论：

常规超声在致密型乳腺及年轻患者（40岁）中探测肿块的灵敏度显著高于乳腺X线摄影，而乳腺X线摄影的特异度更高。联合诊断在不同年龄及不同乳腺类型患者中对乳腺肿块诊断的灵敏度均高于单一检查方法。

Abstract

Objective:

To analyze the diagnostic value of conventional ultrasound and mammography in different types of breast masses.

Methods:

A retrospective analysis was performed on the data of 1 600 patients who underwent both conventional ultrasound and mammography examination in Shanghai General Hospital

Shanghai Jiao Tong University from January 2013 to August 2019. Pathological results we

re used as the gold standard to investigate the diagnostic value of conventional ultrasound and mammography in different types of breast masses.

Results:

There were 867 benign masses and 733 malignant ones. Four hundred and ninety-one were non-dense and 1 109 were dense. The sensitivity of conventional ultrasound was significantly higher than that of mammography

while the specificity of mammography was higher than that of conventional ultrasound. The difference was statistically significant (

＜0.05). For dense breasts and young patients (40 years)

the sensitivity of conventional ultrasound was significantly higher than that of mammography

and the specificity of mammography was significantly higher than that of conventional ultrasound (

＜0.05). For non-dense breasts and patients over 40 years old

the sensitivity of conventional ultrasound was higher than mammography and mammography was more specific

but there was no statistical significance (

＞0.05). The sensitivity of the combined diagnosis was higher than both of two single test methods

and the specificity was lower

whether in different ages or different types of breast

and the comparison was statistically significant (

＜0.001).

Conclusion:

The sensitivity of conventional ultrasound in dense breasts and young patients(40 years) is significantly higher than that of mammography

and the specificity of mammography is higher. The combined diagnosis is more sensitive to the diagnosis of breast masses than both of two single test methods

whether in different ages or different types of breast.

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