推荐回答(3个)
乳腺癌的诊断方法,其实就是三大方面,第一方面就是体检,体检就是通过视诊、触诊,来发现乳腺的一些外在表现,比如肿块、酒窝征、橘皮征、乳头内陷、乳头溢液、腋窝淋巴结肿大等等,这就是我们体检,这就是一大方面可以发现的。 另外就是我们辅助的仪器检查,一个是乳房彩超它的灵敏度很高,而且是无损伤无创的没有辐射,是最简便易行的,它能发现几毫米的肿块。 另外一种就是乳腺钼靶,乳腺钼靶的特点,是能发现彩超所不能发现的一些钙化,当然这些钙化有良性钙化有恶性钙化,但是在钼靶上能够,比较准确地分析这种钙化的性质,是不是那种具有恶性特征的那些钙化,比如说泥沙样、柱形这种钙化,我们这种钙化就是由其引起注意的,而且常规手段是不能发现的,只有通过乳腺钼靶,此功能是在乳腺检查里面,具有更高的一个灵敏性,鉴别诊断上更有价值,就是我们除了常规影像学的表现之外,还可以反映出代谢的一个改变的,比如说我们还有一种更高级的PET-CT,就是各种的检查,根据实际情况来应用安排。
遗传性乳腺癌/卵巢癌基因检测可为女性检测出相关的基因突变,让基因携带者及时进行适当的处理,针对性的监察及避免癌症的发生。
香港疫苗站可预约,网页链接
乳腺癌都有哪些检查方法?
体格检查:月经来潮以后的第9-11天是乳腺疾病检查的最佳时间。
乳腺X线钼靶向检查:乳腺X线钼靶摄影筛查是早期检出乳腺癌的主要影像学检查技术。
乳腺B超:简洁、方便、无创、适用于乳腺癌的普查。
CT检查:通常用于对可疑有远处转移病灶的检查。
磁共振(MRI)检查:有助于评估手术前后肿瘤范围和手术疗效
BRCA基因检测:只要条件许可,任何家族中有已知的BRCA1/2有害突变的人群或满足一定条件的乳腺癌患者*确诊时均建议进行BRCA突变的检测。
肿瘤标志物:与乳腺癌相关的肿瘤标志物主要有CA153、CEA、CA125、CA242等。
乳腺病理组织学或细胞学检查:病理学检查结果是乳腺癌确诊的“金标准”
*如发病年龄在40岁以下的乳腺癌患者,60岁以下的三阴性乳腺癌患者,所有男性乳腺癌患者,满足一定家族史条件的乳腺癌患者
问:钼靶、超声和磁共振检查那个更好?
答:不同的检查手段各有其优势和用途:
钼靶:诊断高,但对40岁以下及致密乳腺诊断准确性欠佳;
超声:操作简便经济,常用作40岁以下女性的检查,或作为乳腺X线筛查的补充检查;
MRI检查:敏感度高,可用于手术前的分期评估,但检查时间较长,费用较贵;
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