数字化钼靶检查诊断乳腺浸润性导管癌  

Diagnosis of Breast Infiltrating Ductal Carcinoma by Digital Mammography

作　　者：贺斌[1] 谭隆旺[1] 连英[1] 汤钰[1] 郑霞[1] 

机构地区：[1]成都军区昆明总医院医学影像科,云南昆明650032

出　　处：《昆明医科大学学报》2012年第4期102-105,共4页Journal of Kunming Medical University

摘　　要：目的探讨数字化钼靶检查诊断乳腺浸润性导管癌的诊断价值.方法收集2009年10月至2011年10月经手术病理证实的62例乳腺浸润性导管癌,回顾分析乳腺浸润性导管癌钼靶X线征象,参照BI-RADS标准进行读片分析.结果乳腺浸润性导管癌分布于外上象限居多,占50%,内下象限最少,占6.45%;91.49%的肿块钼靶X线所见均较触诊体积小;肿块、病灶边缘模糊、中间性或高度可疑恶性钙化、分叶征和毛刺征分别占75.81%、95.16%、87.10%、46.77%、43.55%.结论肿块、病灶边缘模糊、中间性或高度可疑恶性钙化、分叶征和毛刺征是诊断乳腺浸润性导管癌的可靠征象,其他间接征象可为诊断提供帮助.Objective To analyze the radiological signs of breast infiltrating ductal carcinoma by molybdenum target tube,to investigate the diagnosis value of breast infiltrating ductal carcinoma with digital mammography.Methods Between October 2009 and October 2011,the different types of mammographc appearance of 62 cases proved pathologically were retrospectively analyzed,according to the BI-RAD that was laid down and recommend by ACR.Results In 50% cases with infiltrating ductal carcinoma usually marked in the outer upper quadrants of breast and in 6.45% cases marked in the inner lower quadrants.The size of mass in 91.49 % cases shown on mammography was smaller than that measured through physical examination.The mammorgraphyic appearance of 62 cases with infiltrating ductal carcinoma included: mass(75.81%),indistinct circumscribed lesion(95.16%),middle or high possibility of malignant calcification(87.10%),and lobulated mass(46.77%)and irregular spiclulated mass(43.55%).Conclusion Mammorgraphyic features including mass,indistinct circumscribed lesion,middle or high possibility of malignant calcification and lobulated and irregular spiclulated mass,are reliable signs in the diagnorsis of breast infiltrating ductal carcinoma,other indirect signs are also valuble to diagnosis.

关 键 词：数字化乳腺摄影术 乳腺浸润性导管癌 诊断 

分 类 号：R737.9[医药卫生—肿瘤]