炎性乳腺癌的临床及影像学特征  

The Clinical and Imaging Features of Inflammatory Breast Cancer

作　　者：徐向红[1] 张晓[1] 王海彦[1] 

机构地区：[1]江苏省肿瘤医院放射科,南京210009

出　　处：《临床放射学杂志》2009年第12期1615-1617,共3页Journal of Clinical Radiology

摘　　要：目的探讨炎性乳腺癌(inflammatory breast cancer,IBC)的临床及影像学特征。资料与方法回顾性分析23例(24个患乳)经手术病理证实的IBC患者的临床及影像资料。结果IBC钼靶X线表现:皮肤增厚24个,并伴皮下脂肪层混浊见"索条"状、"网格"状致密影及乳腺小梁增粗,乳晕区皮肤增厚8个;乳腺弥漫性密度增高17个,片状密度增高5个;结节肿块9个;微小钙化12个;乳头回缩7个。超声:乳腺皮肤增厚24例,实性腺体回声改变18个,有皮肤淋巴管扩张11个,实性肿块13个,胸壁肌肉受侵1个,局灶性腺体回声改变6个,腋下淋巴结肿大23例。结论IBC具有典型的临床及X线表现。超声有助于发现肿块及有无胸壁肌肉及腋下淋巴结受侵。Objective To investigate the clinical and imaging features of inflammatory breast cancer. Materials and Methods All 23 patients of inflammatory breast cancer were verified by histopathology. Imaging data were analyzed retrospectively. Results The mammography characteristic of inflammatory breast cancer were as follows：skin thickening with subcutaneous adipose layer opacity presenting as strip or reticular dense shadow 24 cases;thickened areola zoon 8 cases;diffusely increased density 17 cases;asymmetric facal density 5 cases ; mass 9 cases ; microcalcifications 12 cases ; nipple retraction 7 cases. US showed changes in skin thickening 24 cases;parenchymal echogenicity changes 18 cases;dilated lymphatic 11 cases;solid mass 13 cases ;pectoral muscle invasion 1 cases ;focal areas of parenchymal acoustic shadowing 6 cases and axillary lymphadenopathy 24 cases. Conclusion IBC has typical clinical and X-ray characteristic. US is helpful not only in depiction of masses masked by the edema pattern but also in demonstration of skin and pectoral muscle invasion and axillary involvement.

关 键 词：炎性乳腺癌 乳腺X线摄影 超声 

分 类 号：R737.9[医药卫生—肿瘤] R739.41[医药卫生—临床医学]