肿块型乳腺炎与乳腺癌的X线鉴别诊断  

Differential diagnosis of lump mastitis and breast cancer

作　　者：汪兴龙[1] 夏玉明[1] 胡必富[1] 刘长华[1] 夏尧[1] 严君[1] 

机构地区：[1]湖北省随州市妇幼保健院放射科,湖北随州441300

出　　处：《中国中西医结合影像学杂志》2015年第2期152-154,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的 :分析肿块型乳腺炎和乳腺癌的X线表现,提高二者的鉴别诊断水平。方法 :回顾性分析30例肿块型乳腺炎和60例乳腺癌患者的临床和影像资料,分析比较其X线图像特征。结果 :30例乳腺炎性疾病患者中,病灶位于乳晕后区21例(70.0%),结构模糊26例(86.7%),乳晕处皮肤增厚24例(80.0%),伴结构紊乱、扭曲4例(13.3%)。60例乳腺癌中,病灶位于外上象限31例(51.7%),结构模糊19例(31.7%),结构紊乱、扭曲40例(66.7%)。二者之间的X线表现差异有统计学意义(P<0.05)。结论:肿块型乳腺炎和乳腺癌的X线表现各有一定的特征性,结合病史,可提高对二者的鉴别诊断水平。Objective：To analyse the X-ray manifestations of lump mastitis and breast cancer,and raise the level of the differential diagnosis of both. Methods：Retrospectively analyzed the clinical and X-ray data of 30 cases with lump mastitis and60 cases with breast cancer,and compared with each other. Results：In 30 cases with lump mastitis,the lesions were located in the post-zone of areola in 21 cases（70.0%）,the structure of lesions were fuzzy in 26 cases（86.7%）,the skin in the areola was thickening in 24 cases（80.0%）,the structure of lesions were disordered or distorted in 4 cases（13.3%）. In 60 cases with breast cancer,the lesions were located in quadrant goes up outside in 31 cases（51.7%）,the structure of lesions were fuzzy in19 cases（31.7%）,the structure of lesions were disordered or distorted in 40 cases（66.7%）. There were statistically significant differences of X-ray performance between lump mastitis and breast cancer（P 0.05）. Conclusion：The X-ray performance of lump mastitis and breast cancer has certain characteristics,combining with the disease history,can improve the differential diagnosis of both.

关 键 词：乳腺炎 乳腺肿瘤 乳房X线摄影术 诊断 鉴别 

分 类 号：R737.9[医药卫生—肿瘤] R655.8[医药卫生—临床医学] R730.44