乳腺癌钼靶X线表现特征(118例分析)  

Mammographic Features of Breast Cancer(Analysis of 118 Cases)

作　　者：曹志坚[1] 

机构地区：[1]昆明市妇幼保健院放射科,昆明650031

出　　处：《放射学实践》2009年第1期39-42,共4页Radiologic Practice

摘　　要：目的:探讨乳腺癌的钼靶X线诊断价值。方法:回顾性分析经手术病理证实的118例乳腺癌的钼靶X线表现。结果:浸润性导管癌70例(59.3%),导管原位癌17例(14.4%),黏液腺癌7例(5.9%),髓样癌5例(4.2%),微小癌1例,其他类型癌18例。X线表现为肿块的80例(68.6%),微钙化57例(48.3%)。肿块伴钙化31例(31/118,26.3%),仅见微钙化13例(13/118,11%),结构扭曲伴微钙化7例,局灶性致密伴钙化6例,仅表现为结构扭曲6例,异常血管影41例(34.7%)。结论:微钙化是导管原位癌常见的基本X线征象。结构扭曲和局灶性致密是乳腺癌容易忽略的特殊X线表现。异常血管影是乳腺癌重要合并征象。使用点压技术是提高X线诊断率的重要手段。Objective：To improve radiologic diagnosis of breast cancer. Methods：The different types of mammographie appearance of 118 patients with breast cancer were retrospectivelY analyzed. All cases were confirmed by operation and pathology, which included infilt rating ductal carcinoma （n = 70,59.3 % ）, ductal carcinoma in situ （DCIS, n = 17,14.4 %）, mucinous carcinoma （n=7）,medullary carcinoma （n=5）,tiny micro-carcinoma （n=1） and the other types （n=18）. Results： The mammographic appearance of 118 patients with breast cancer included ： mass （n = 80,68.8 % ）, microcalcification （n = 57,48.3 % ）, the latter consisted of mass associated with calcification （n ： 31,26. 3 %）, microcalcification only （n = 13, 11 % ）, architecture distortion with microcalcification （n= 7）, focal asymmetric density with microcalcification （n= 6）, only architecture distortion （n= 6）. 41 cases had abnormal vessel signs （34. 7%）. Conclusion： The microcalcifications are the most frequently basic X-ray signs in DCIS. Architecture distortion and focal asymmetric density are special X-ray signs that were easily missed. The abnormal vessels are also important accompaniment signs of breast cancer. The use of coned compression technique is particularly important in radiological diagnosis of breast cancer.

关 键 词：乳腺肿瘤 乳房摄影术 体层摄影术 X线计算机 

分 类 号：R737.9[医药卫生—肿瘤] R814.3[医药卫生—临床医学]