乳腺导管内癌的X线-病理对照研究  

X-ray Diagnosis and Pathological Study of Ductal Carcinoma in Situ of Breast

作　　者：赵玉梅[1] 刘佩芳[1] 张俊义[1] 

机构地区：[1]天津医科大学附属肿瘤医院,天津300060

出　　处：《实用放射学杂志》2006年第2期235-237,共3页Journal of Practical Radiology

摘　　要：目的探讨钼靶X线检查对乳腺导管内癌(DCIS)的诊断价值。方法回顾性分析了经病理证实的107例乳腺导管内癌的X线征象,并与病理结果进行对照。结果钼靶摄影显示钙化62例(57.9%),其中伴有肿物或局限致密的13例;局限致密浸润17例(15.9%);肿物20例(18.7%);乳头增大1例(0.9%);未见异常7例(6.5%)。结论多发细小多形性钙化为导管内癌最常见X线表现形式;乳腺摄影能早期发现临床触及不到的微小癌及早期癌,其中主要是导管内癌,还能准确反映乳腺内有否多原灶,有利于帮助临床确定手术范围及手术方式。Objective To discuss the value of the mammography in the diagnosis of ductal carcinoma in situ （ DCIS） and guidelines of the operation . Methods 1 0 7 pathologically proved DCIS were retrospectively reviewed. Results There were 6 2 microcacifications （57.9% ）, the range of microcacifications was varied , of them, 13 were masses or local compact with microcacifications ; 17 were localized infiltration and bad structure （15.9% ） ;20 were masses （18.7% ） ;1 papillae enhancement （0.9% ） ,7 were normal（ 6.5% ）. Conclusion Multiplicity microcacifications are the most frequently appearance of X -ray in DCIS; mammography could find the early microcarcinoma and the early carcinoma , especially the DCIS ; mammography could exactly reflect the multifocus , it is of value in confirming the range of the operation.

关 键 词：乳腺 导管内癌 乳腺X线摄影术 X线诊断 

分 类 号：R737.9[医药卫生—肿瘤] R814[医药卫生—临床医学]