乳腺癌查计划中的间隔癌症 (2007-2018):特征和预后
P Alonso Bartolomé1, P Merino Rasillo1, S Sánchez Gómez1
1Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla. Instituto de investigación Marqués de Valdecilla (IDIVAL), Santander, Spain.
Radiologia
|December 14, 2024
概括
大约20%的间歇性乳腺癌在查性乳房影像上是可见的,通常呈现为不对称性或质量. 这些间隔癌症在更先进的阶段被诊断出来,导致更多的乳房切除术,并强调了查计划需要进行质量控制的需要.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 基于人口的乳腺癌查计划旨在早期检测癌症.
- 间隔癌症是那些在预定查之间被诊断出来的癌症.
研究的目的:
- 分析查和间隔乳腺癌的放射学和组织学特征.
- 为了比较查检测到的癌症与间隔癌症的阶段和治疗.
主要方法:
- 从基于人口的查计划 (2007-2018) 中分析了1395种查检测到的和300种间隔癌症.
- 对于50-69岁的女性,每两年使用一次数字乳房扫描.
- 间隔癌症的回顾性审查,包括放射学发现,乳腺密度,组织学,表型和手术治疗.
主要成果:
- 52%的间隔癌是真正的间隔癌,20.5%是假阴性,13%的间隔癌显示最小的症状.
- 间歇性癌症比查检测的癌症要先进得多 (T阶段更高,股关更大) 和更具侵略性 (更多的HER2+和三阴性亚型).
- 与查检测的癌症 (67%) 相比,更高比例的间隔癌症 (80%) 通过乳房切除得到治疗.
结论:
- 大约20%的间歇性癌症在查性乳房影像上是明显的,通常是不对称/质量.
- 间歇性癌症在更晚的阶段被诊断出来,需要更频繁地进行乳房切除术.
- 审查间隔癌症对于改善乳腺癌查计划的质量至关重要.
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