Com jutjar la massa mamària benigna i maligna

Jan 25, 2022

At present, doctors mainly use the following methods to judge the benign and malignant breast lumps: ① physical examination, including inspection and palpation; ② mammography; ③ ultrasound examination; ④ infrared scanning; ⑤ puncture; ⑥ biopsy; ⑦ others. They have their own strengths and weaknesses for diagnosing breast lumps. ① Physical examination: A doctor's physical examination is extremely important for judging the benign and malignant breast masses. But the accuracy of the judgment depends on the doctor's experience. If a doctor has been exposed to such diseases for a long time, and he is also good at summarizing experience. Then after examining the patient, there will be a 78 percent in his mind. If the signs are typical, he can make a definite diagnosis even without any examination, including sometimes the instrument examination does not have his touch examination. Accurate situations are often encountered. This feeling of doctors is often only understandable and difficult to describe. But if you find a doctor who isn't very good, sometimes even though he's famous in other respects, it makes a big difference. Therefore, you must find a specialist doctor through formal channels. ② mammography X-ray pictures are very helpful for diagnosing breast lumps, but only a few large hospitals with conditions have them, and the examination fee is relatively high. In many cases, it is impossible to make an exact diagnosis. The factors of the doctor's level; ③Ultrasonic examination is very good for judging the cystic mass and the localization measurement of the mass. In addition, it is very difficult to judge the benign and malignant breast masses. ④Infrared scanning, which mainly uses the different absorption rates of infrared rays by the soft tissues of different structures of the human body for diagnosis. Sometimes there is a certain degree of accuracy, but in many cases it is impossible to make an accurate judgment. The advantage is that the price is low and there is no harm to the human body. ⑤ Puncture is to insert a fine needle into the mass and extract a small amount of tissue for cytological examination. This is a very good and direct examination. It is not only cheap, but also very accurate. Hospitals with conditions can also perform puncture combined with B-ultrasound and X-ray positioning, which may find very early cancers that cannot be touched. But unfortunately, according to folklore, puncture will cause tumor metastasis, so many patients dare not use it. I am firmly opposed to this. Because the medical community has demonstrated this for many times, it will not cause tumor metastasis; to take a step back, in the case that no other examination can make a judgment, allowing it to delay the diagnosis can lead to more chances of metastasis than receiving treatment immediately after puncture. . Some people say, then I choose surgical biopsy or intraoperative rapid biopsy diagnosis. Let me tell you, the stimulation caused by surgery is much greater than that caused by puncture. If it is benign, it will also add a lot of money to you. Intraoperative rapid sectioning can make you lose preoperative chemotherapy, a treatment that works well to prevent metastasis. ⑥Biopsy: Needless to say, its diagnosis is the most reliable, but the damage is too large, and it is only used when other methods cannot be diagnosed. ⑦ Others: including CT and NMR, the value is not higher than the above-mentioned means, but the price is very high.

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