乳腺良恶性肿块的钼靶X线征象分析  

Analysis about Mammographic Findings in Benign and Malignant Lesion

作　　者：杜红文[1] 张蕴[1] 张剑琴 张月浪 

机构地区：[1]西安医科大学第一临床学院影像中心,西安710061

出　　处：《中国医学影像学杂志》2000年第6期433-434,共2页Chinese Journal of Medical Imaging

摘　　要：目的 :提高对乳腺疾病的钼靶X线征象认识。材料和方法 :良性病变 6 0例 (6 9个病灶 ) ,恶性病变 5 1例 (5 5个病灶 ) ,年龄 13～ 72岁。患者均行乳腺钼靶X线摄影并经手术病理证实。结果 :良性病灶多为圆形、卵圆形 ,边缘规则 ,等密度、低密度或混合密度 ,80 %的病灶可见完全或不完全的晕环。恶性病灶多为分叶形或不规则形 ,80 %为高密度 ,2 0 %为等密度 ,没有低密度和混合密度病灶。病灶边缘模糊 ,6 1%伴有钙化 ,39%患侧血管增粗扭曲紊乱。结论 :钼靶乳腺摄影是乳腺影象学检查的首选方法 ,95 %以上的病变可望术前作出正确诊断。Purpose: To improve cognition of mammographic signs of breast desese. Materials and methods: 69 benign masses in 60 patients and 55 malignant masses in 51 patients examined with mammography were proved by surgery. The age ranged from 13 to 72 years old. Results: The benign masses were round or oval with sharp contour. The most of their density were low, equivalent or mixed. Halo sign was seen in 80% of lesions. The malignant masses were lobular or irregular. There were 80% of lesions in high density and 20% in equivalent density. Low and mixed density lesions can not be found. The cluster calcifications and vascular thickening and twist of malignant lesion were seen in 61% and 39%, respectively. Conclusion: Mammography is first choice for breast disease and 95% of breast lesions can be identified in mammogram.

关 键 词：乳腺 良恶性病变 乳腺瘤 X线诊断 

分 类 号：R737.904[医药卫生—肿瘤]