乳腺浸润性导管癌58例全数字化X线征象分析  

Imaging analysis of full-field digital mammography in infiltrative ductal carcinoma:a report of 58 cases

作　　者：汤晓敏[1] 杨菊萍[1] 张俊祥[1] 余松涛[1] 高之振[1] 

机构地区：[1]蚌埠医学院第一附属医院放射科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2010年第12期1284-1286,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨乳腺浸润性导管癌的全数字化X线表现,以进一步提高诊断水平。方法:对经手术病理证实且术前均行全数字化乳腺摄影检查的浸润性导管癌82例的X线征象进行回顾分析。结果:82例X线征象:肿块62例,微钙化48例,肿块伴钙化32例,局限性密度增高或结构紊乱17例,乳头凹陷9例,皮肤增厚9例,皮肤凹陷5例,大导管征3例。结论:乳腺浸润性导管癌最常见的X线表现为肿块及微钙化,具有较高的诊断价值,其他少见征象包括局灶性密度增高或结构紊乱、乳头及皮肤改变以及大导管征的出现,亦对定性诊断颇具意义。Objective：To analyze the important mammographic features of full-field digital mammography in infiltrative ductal carcinoma and raise the preoperative diagnosis level.Methods：Eighty-two cases confirmed by surgery and pathology were collected and retrospectively analysis in the study.All cases had been examined with full-field digital mammography before surgery.Results：Among 82 cases X-ray signs,62 cases were with round and irregular mass,48 cases with malignant calcification,which include 32 cases combining with masses,17 cases with local dissymmetrical infiltration or abnormal structures,9 cases with nipple retraction and 9 cases with local skin thickening,5 cases local skin retraction,3 cases with positive duct sign.Conclusions：Mass and malignant calcification are the most common features of infiltrative ductal carcinoma,which is important in diagnosis,and there are some unusal features,such as local dissymmetrical infiltration or abnormal structures,and the change of nipple and skin,and positive duct sign.

关 键 词：乳腺肿瘤 癌 导管 乳腺 数字化乳腺摄影 X线摄影术 

分 类 号：R737.9[医药卫生—肿瘤]