乳腺内钙化在乳腺癌中的诊断价值  

The value of calcification in the diagnosis of breast cancer

作　　者：陈扬[1] 李蓉[2] 陈蔓青[2] 李静勉[3] 

机构地区：[1]广东省潮州市妇幼保健院放射科,广东潮州521000 [2]广东省潮州市妇幼保健院乳腺病防治中心,广东潮州521000 [3]广东省潮州市妇幼保健院病理科,广东潮州521000

出　　处：《医学影像学杂志》2010年第3期368-371,共4页Journal of Medical Imaging

摘　　要：目的:探讨乳内钙化灶在诊断乳腺癌中的价值。方法:搜集乳腺X线片中出现钙化并经手术病理或穿刺活检证实的乳腺癌116例,良性病变40例,通过8项指标分析钙化在乳腺良、恶性病变中的差异。结果:乳腺良、恶性病变的钙化在形态、颗粒大小、数量、平均密度、密度是否均匀、密集度及分布7个方面均存在显著差异(P<0.05),其中以密集度、形态、平均密度及颗粒大小差异最显著(P<0.001);而大小是否一致无显著差异(P>0.05)。结论:乳腺钙化的X线表现对乳腺癌的诊断具有重要价值。Objective：To inquire the value of calcification by molybdenum target mammography in diagnosing breast cancer.Methods：Calcification had been found on mammogram and verified by pathology or biopsy in 116 cases of breast cancer and 40 cases of benign breast lesions,then,the characteristics of calcification with eight indexes between benign lesions and malignant lesions were compared.Results：The calcification of breast benign and malignant lesions in terms of shape,size of point,number,average density,density or not,degree of concentration, and distribution existed significant difference（P0.05）.Among them,degree of concentration,shape,average density and size of point,were particularly significant difference（P0.001）.But,whether the size was consistent or not,there existed no significant difference（P0.05）.Conclusion：The X-ray features of calcification plays an important role in the diagnosis of breast cancer.

关 键 词：乳腺钼靶X线摄影 乳腺癌 钙化 

分 类 号：R737.9[医药卫生—肿瘤] R445.2[医药卫生—临床医学]