不典型乳腺癌的FFDM影像表现特征与部位分析  

Full-field digital mammography imaging characteristics and locations of non-typical breast carcinoma

作　　者：刘健[1] 毛锡金[2] 孙建[2] 郭兰田[2] 姜兴岳[2] 冯艳[2] 

机构地区：[1]滨州市人民医院特检科,滨州256603 [2]滨州医学院附属医院放射科

出　　处：《滨州医学院学报》2014年第1期32-35,共4页Journal of Binzhou Medical University

基　　金：滨州市软科学(2011BRKB16)

摘　　要：目的应用FFDM技术,通过分析不典型乳腺癌的乳腺X摄影的影像表现特征,提高不典型乳腺癌的早期诊断率。方法回顾性分析71例不典型乳腺癌的FFDM X线表现特征,进而分析影像学特征表现与病灶部位的关系。结果 71例不典型乳腺癌中位于腺体边缘和乳腺后间隙的病灶80%为高密度结节(包括伴随钙化的病灶),73.68%的致密影、结构紊乱和单纯钙化与乳腺腺体重叠。结论对临床触及的活动结节,多位于腺体边缘和乳腺后间隙内的高密度结节,应仔细分析病灶的具体表现,不应忽视不典型乳腺癌的诊断;临床触诊阴性或触及质韧组织的不典型乳腺癌往往病灶与腺体重叠,需要双侧对照、放大观察,减少误诊。Objective Improve the early diagnosis of non-typical breast carcinoma by using full-field digital mammography exami-nation and analyzing imaging features .Methods Through retrospective analysis of 71 cases of non-typical breast carcinoma full-field digital mammography X-ray features, and then analyzes the performance characteristics of the relationship with the lesion site .Results 80% high-density nodules （ including with calcification ） were located mammary space or nearby mammary glands in 71 cases. 73.68% dense shadows and structural disorders and simple calcifications were overlapped the breast glands .Conclusions Activities nodules of clinical palpation were usually high -density nodules located in mammary space and nearby mammary glands , lesions should be carefully analyzed the specific performance and should not be overlooked diagnosis of non -typical breast carcinoma .The lesions were often overlapped with the mammary glands ,which palpated none lesions by clinical palpation or touched quality tough tissue .It should be need to control observation bilateral breast and magnify its observations to reduce misdiagnosis .

关 键 词：不典型乳腺癌 全数字化乳腺摄影 诊断 

分 类 号：R737.9[医药卫生—肿瘤]