乳腺癌新辅助化疗前后X线征象的变化及意义  

The implication of mammographic changes before and after neo-adjuvant chemotherapy in breast cancer

作　　者：刘江[1] 历玲玲[1] 周韶斌[1] 王蓓[2] 胡望远[1] 吴晓明[3] 

机构地区：[1]浙江省金华市中心医院放射科,浙江金华321000 [2]浙江省金华市中心医院肿瘤科,浙江金华321000 [3]浙江省金华市人民医院放射科,浙江金华321000

出　　处：《医学影像学杂志》2006年第6期572-574,共3页Journal of Medical Imaging

摘　　要：目的:对乳腺癌新辅助化疗(NCT)前后各种钼靶X线征象进行观察分析,以评价其疗效。方法:对比分析47例乳腺癌NCT前后钼靶摄影各主要征象的变化。结果:肿块变化发生率89.3%(42/47),其中类圆形肿块变化87.5%(7/8)、形态变化趋向不规则;模糊肿块93.7%(15/16)肿块边缘趋于清晰;肿块周围毛刺90.5%(19/21)变短甚至消失;透亮环肿块(1/2)可见瘤性实体缩小;病灶钙化74.2%(23/31)出现范围、数目、分布上的变化。结论:乳腺癌NCT前后钼靶摄影各种X线征象均有所变化。Objective： To analysis molybdenum target X-ray changes before and after neo-adjuvant chemotherapy （NCT） for breast carcinoma. So at to evaluate the curative effect, Methods：47 mammographic X-ray films before and after NCT were collected. The main mammographic cheages were analyzed.Results：Breast mass changing was 89.3% （42 of 47 cases）. Among which, 87.5% （7 of 8 cases） round mass became irregular; 93.7% （15 of 16 cases） mass with poorly uncear margin changed into well-defined; 90.5% （19 of 21 cases） spicule around mass was shortened or disappeared; 50% （ 1 of 2 cases） mass surrounded with radiolucent ring was decreased . 74.2% （23 of 31 cases） calcification changes variedly in range, amount, and distribution. Conclusion： Before and after NCT, the every main maammographic signs of cancer took place change.

关 键 词：乳腺癌 新辅助化疗 钼靶X线征象 

分 类 号：R737.9[医药卫生—肿瘤] R814.4[医药卫生—临床医学]