全数字化乳腺X线摄影对微小乳腺癌的诊断价值  

The diagnosis value of digital mammography for micro breast cancer

作　　者：翟少智[1] 刘国荣[1] 

机构地区：[1]广东省惠州市中心人民医院放射科,惠州516001

出　　处：《北方药学》2013年第4期64-65,共2页Journal of North Pharmacy

摘　　要：目的:分析微小乳腺癌的全数字化乳腺X线征象,进一步提高微小乳腺癌的诊断水平。方法:回顾性分析我院2009年3月～2012年3月确诊的46例微小乳腺癌患者的临床表现及全数字化乳腺X线特点,所有患者均采用全数字化乳腺X线摄影,最后与手术病理结果对照。结果:本组46例微小乳腺癌患者中,浸润性导管乳腺癌34例,导管原位癌6例,浸润性小叶癌7例,黏液腺癌3例,髓样癌2例。X线征象为结节者35例,钙化28例,6例表现为局部结构紊乱,11例出现小灶致密影。结论:全数字化乳腺X线摄影其突出优势在于能显示乳腺内微小钙化灶,而且图像具有更好的对比度和清晰度,因此,全数字化乳腺X线摄影是诊断微小乳腺癌的首选检查方法。Objective：To analyze digital mammography findings for micro breast cancer and further improve the diagnostic level of micro breast cancer . Materials and methods：The clinical data of 46 patients with micro breast cancer diagnosed during 2009.3～2012.3 in our hospital were analyzed retrospectively. To explore their clinical symptoms and digital mammography features.All of the patients were performed with digital mammography. Results：46 cases with micro breast cancer were detected by digital mammography.Including 34 infiltrating ductal carcinomas（IDC）, 6 ductal carcinomas in situ（DCIS）, 7 invasive lobular carcinomas, 3 mucinous carcinomas, and 2 medullary carcinomas. The X-ray findings were as follows：mass （n =35）;micmcalcification （n =28）; localized tortuosity or disturbance of mammary gland architecture （n =6）;asymmetrical and localized increased density （n =11）. Conclusion：The X -ray image of digital mammography has better contrast and definition. digital mammography is recommended to identify micro breast cancer.

关 键 词：乳腺 微小乳腺癌 全数字化乳腺摄影 

分 类 号：R737.9[医药卫生—肿瘤]