ĐẶC ĐIỂM CỦA SIÊU ÂM, CHỤP HÌNH VÚ, TẾ BÀO HỌC Ở BỆNH NHÂN UNG THƯ VÚ TẠI TRUNG TÂM UNG BƯỚU BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN NĂM 2021

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Tác giả: Bảo Ngọc Trần, Hoàng Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.283-291

Bộ sưu tập: Báo, Tạp chí

ID: 339936

Thêm vào giỏ Liên kết toàn văn

Nhắm phân tích đặc điểm của siêu âm, chụp hình vú, tế bào học và đối chiếu kết quả bộ ba xét nghiệm này với kết quả mô bệnh học sau mổ ở bệnh nhân ung thư vú tại Trung tâm Ung bướu bệnh viện Trung Ương Thái Nguyên. Từ tháng 01/2021 đến tháng 12/2021, chúng tôi nghiên cứu mô tả cắt ngang, lấy số liệu hồi cứu trên 48 bệnh nhân, tất cả bệnh nhân được khám lâm sàng, chụp Xquang và siêu âm tuyến vú, được phẫu thuật và có kết quả mô bệnh học chẩn đoán xác định là ung thư vú. Kết quả nghiên cứu cho thấy, đặc điểm hình ảnh ung thư vú trên Xquang: tổn thương khu trú (93,8%), dấu hiệu hình sao (68,8%), ranh giới không rõ (58,3%), tăng đậm độ (54,2%), vôi hóa nghi ngờ ác tính (41,7%), dấu hiệu co kéo (18,8%). Đặc điểm hình ảnh ung thư vú trên siêu âm: giảm âm (100%), tổn thương hình khối (95,8%), mật độ không đều (87,5%), ranh giới không rõ (72,9%), tổn thương xâm lấn (20,9%). Đặc điểm của tế bào học: kết quả chọc hút tế bào nhỏ là ác tính và nghi ngờ ác tính chiếm 95,8%, lành tính chiếm 4,2%. Tỉ lệ phù hợp của Xquang, siêu âm và chọc hút tế bào học lần lượt là 91,6%
89,6%
95,7%. Từ đó có thể thấy, bộ ba xét nghiệm chụp hình vú, siêu âm, chọc hút bằng kim nhỏ có giá trị rất cao trong việc phát hiện ung thư vú và là các công cụ không hoặc ít xâm lấn, dễ dàng thực hiện nên có thể sử dụng trong việc sàng lọc và phát hiện sớm ung thư vú.This study aims to analyze the characteristics of ultrasound, mammography, cytology and compare the results of these three tests with histopathological results after surgery in breast cancer patients at the Oncology Center of Thai Nguyen National Hospital. From January 2021 to December 2021, we did a cross-sectional descriptive study and took retrospective data on 48 patients who underwent clinical examination, x-ray and ultrasound of the mammary gland, surgery and histopathological results confirmed breast cancer. The results showed breast cancer imaging characteristics on X-ray: localized lesions (93.8%), astrological signs (68.8%), unclear boundaries (58.3%), increased attenuation (54.2%), calcifications suspected of malignancy (41.7%), signs of traction (18.8%). The features of breast cancer on ultrasound: hypoechoic (100%), cuboidal lesions (95.8%), irregular density (87.5%), unclear boundaries (72.9%), invasive lesions (20.9%). Characteristics of cytology: the results of fine needle aspiration are malignant and suspected malignancy accounted for 95.8%, benign accounted for 4.2%. The concordance rate of X-ray, ultrasound and cytological aspiration was 91.6%, 89.6% and 95.7%. It can be seen that the trio of mammography, ultrasound, and fine needle aspiration tests have very high value in detecting breast cancer and are non or less invasive tools that are easy to perform, can be used in screening and early detection of breast cancer.

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