隐匿性乳腺病灶钼靶X线表现与病理对照研究  

The comparison of mammographic and pathologic features in nonpapable breast lesion

作　　者：冯长征 郭庆禄 魏北阳 叶志球 刘永熙 张嫣 肖祎炜 Feng Chang- zheng, Guo Qinglu, Wei Beiyang, Ye Zhiqiu, Liu Yongxi, Zhang Yan, Xiao Yiwei

机构地区：广东省妇幼保健院放射科 广州医学院附属广东省妇儿医院,510010

出　　处：《中外健康文摘：临床医师》2007年第9期60-62,共3页

基　　金：本文为广东省中医药局科研立项课题（编号1050026）

摘　　要：目的：分析各种隐匿性乳腺病灶钼靶X线表现,并分析其与病理学的相关性,为临床诊疗提供参考。材料与方法：经手术、病理证实的各种隐匿性乳腺病灶如导管原位癌、导管原位癌伴微浸润、导管内乳头状瘤、乳腺增生症、乳腺纤维瘤共122例钼靶X线表现,并与其病理结果对照。结果：10例导管原位癌钼靶X线表现为细沙样簇状钙化、结节样致密影、局部结构紊乱。13例导管原位癌伴微浸润X线表现为细沙样簇状钙化、放射状的毛刺影、血管影增多、局部结构紊乱、结节样致密影。18例导管内乳头状瘤X线表现为小结节影、局限性致密影。52例乳腺增生症X线表现为局限性致密影、结构紊乱。29例乳腺纤维瘤X线表现为孤立的结节、局限性致密影。结论：良、恶性隐匿性乳腺病灶的钼靶X线表现有常见的特征,恶性征象有细沙样不均质簇状浅钙化、局部结构紊乱等;良性征象有孤立的结节、局限性致密影、粗大钙化等;与相应病理学有高度相关性,在一定程度上可为临床诊疗提供参考。Purpose：To analyze the mammographic features of nonpapable breast lesion and the correlation between mammographic and pathologic findings,and try to provide clinical criteria for diagnosis and treatment. Materials and methods：A retrospective study was performed to analyze mammographic features and to correlate the mammographic and the pathologic findings in 122 consecutive eases of nonpapable breast lesion including ductal carcinoma in situ（DCIS）, DCIS associated with small invasive foc, intraductal papilloma, atypical hyperplasia, fibroadenoma. Result： There were various features in mammogram of DCIS（10 cases）, including clusters of sand--like calcification, poorly--demarcated nodules or regional structural irregularitie. 13 cases of DCIS associated with small invasive loci mammographic features include clusters of sand--like calcification,burlike nodules or regional structural irregularitie; 18 cases of intraductal papilloma mammographic features include small nodule,increasing local density;52 cases of atypical hyperplasia mammographic features include increasing local density, regional structural irregularities29 cases of fibroadenoma mammographic features include sole nodule, coarse calcification. Conclusion： Benign and maligant nonpapable breast lesion have their characteristic mammographic findings. Maligant signs include clustered.pleomorphic（varying in size and shape）, fine calcification, burlike nodules or regional structural irregularitie. Benign signs include sole nodule,increasing local density or coarse calcification. They were closely associated with the pathologic features. To some extent ,the choice of diagnosis and treatment could be based on these mammographic findings, and pathologic.

关 键 词：隐匿性乳腺病灶 乳房X线摄影术 乳腺肿瘤 病理学 

分 类 号：R739.981[医药卫生—肿瘤;医药卫生—临床医学]