乳腺癌高频钼靶X线表现与临床病理关系的探讨  

The Relationship between the Mammographic Features and Clinicopathologic Characteristics in Breast Cancer

作　　者：李良军 袁俊萍 俞爱平 张宗斌 

机构地区：[1]宜昌市妇幼保健院放射科,湖北宜昌443000 [2]宜昌市肿瘤医院胸外科

出　　处：《实用放射学杂志》2008年第6期827-829,836,共4页Journal of Practical Radiology

摘　　要：目的探讨乳腺癌的X线特点与临床病`理的关系。方法将176例乳腺癌的病灶X线特点与临床资料、病理类型、腋淋巴结转移情况对照分析。结果以单纯钙化为表现的乳腺癌多为年轻者,50岁以下占84.4%(27/32);以钙化合并肿块者多为老年者,50岁以上占53.8%(28/52)。导管内癌和导管内癌早期浸润的乳腺癌X线表现多为单纯钙化,占51.9%(14/27)。以钙化合并毛刺样肿块为表现的乳腺癌腋淋巴结转移率高,约69.4%(25/36);以单纯蠕虫样钙化、单纯毛刺样肿块及单纯非蠕虫样钙化为表现者,腋淋巴结转移率亦较高。结论乳腺癌X线特点与临床病理具有一定的相关性。Objective To study the relationship between the mammographic features and clinicopathologic characteristics in breast canc- er. Methods Digital mammograms of 176 patients with pathologically proved breast cancer were reviewed. X - ray findings were analysed compared with clinical and pathologic data （ histological types and axillary nodes status ）. Results The breast cancer simplely with micro - calcifications was common seen is the young women under 50 years old 127/32, 84.4% ） and mieroealeifieations with the mass was common seen in the aged women over 50 years old（53.8% ,28/52）. Mieroealeifieations in mammography occurred frequently occurred in 51.9% 114/27 ） in intra - duetal carcinoma and early invasive carcinoma. The breast cancer with expression of mieroealeifieation eimbined with burr - like mass had a high metastatic rate to axillary lymph nodes 169.4% ,25/36 ）. A high metastatic rate of axillary lymph nodes could also be found in the patients with solitary worm - like mieroealeifieation, solitary burr - like tumor and simple non - wormlike mieroealeifieation. Conclusion The X - ray features of breast carcinoma are certainly related to the elinieopathologieal manifestations.

关 键 词：乳腺 乳腺癌 乳腺X线摄影 微小钙化 

分 类 号：R737.9[医药卫生—肿瘤] R814.41[医药卫生—临床医学]