NGHIÊN CỨU ĐẶC ĐIỂM CÁC TRƯỜNG HỢP U VÚ ĐƯỢC PHẪU THUẬT TẠI BỆNH VIỆN TỪ DŨ

Abstract

Background: Breast cancer is the most common cancer in women and the second leading cause of cancer death in women. Breast tumor lesions appear clinically in the form of tumour-like lumps, sometimes resembling benign tumors, sometimes cancerous, and easily misdiagnosed with cancer as a result of pathological analysis unlike preoperative diagnosis. Objective: Determining the rate of pathological anatomical forms of breast tumors operated at Tu Du hospital and analyzing the value of ultrasound, mammography, fine needle aspiration. Methods: Retrospective longitudinal descriptive study on 475 breast tumor surgery cases from January 2016 to December 2020 at Tu Du hospital. Results: Breast cancer accounting for 8.6% (95% CI: 6.1-11.2), benign breast tumors accounting for 91.4% (95% CI: 88, 8-93.9). The benign fibroadenoma of the breast accounts for 72.6% (95% CI: 65.5-73.8) which is the most popular form of benign tumor morphological. Breast ductal carcinoma accounts for 78.0% (95% CI: 63.4-90.2) is the most popular form of breast cancer. Sensitivity, specificity, positive predictive value, negative predictive value of ultrasound (0.537; 0.855; 0.259; 0.951), mammography (0.853; 0.335; 0.201; 0.921), FNA (0.486; 0.987; 0.818 ;0.941). Conclusions: Mammography has the best screening role. Ultrasound and FNA have a low screening role.