乳腺钼靶X线片簇状钙化灶对乳腺癌的诊断价值  

The diagnostic value of cluster calcification in mammography examination of breast cancer

作　　者：吕坤[1] 徐丽艳[1] 

机构地区：[1]安徽医科大学第一附属医院放射科,合肥230022

出　　处：《安徽医学》2017年第1期42-44,共3页Anhui Medical Journal

摘　　要：目的探讨乳腺钼靶X线检查时簇状钙化灶对乳腺癌的诊断价值。方法收集2013年1月至2015年7月于安徽医科大学第一附属医院放射科行乳腺钼靶X线摄片检查的17例乳腺癌患者,均显示簇状钙化,其入选标准为钙化的每平方厘米数目(N/S)≥5枚,分析钙化的N/S、位置和密度。结果 17例乳腺癌患者共发现18处簇状钙化灶,其中9处位于外上象限,5处位于中央区,3处位于内上象限,1处位于外下象限;N/S≥10的16处(占89%),2处乳腺癌的N/S<10;呈泥沙状钙化灶17处,颗粒状钙化灶1处;12处簇状钙化灶内含有小杆状钙化,15处簇状钙化灶内可见分叉状钙化;表现为等及稍高密度有10处,高密度有8处。结论乳腺钼靶X线摄影对伴有簇状钙化的乳腺癌的诊断有重要意义。Objective To investigate the diagnostic value of clustered calcification in the mammography examination of breast cancer. Methods Seventeen cases of breast cancer patients who underwent mammography examination showed cluster of calcification, the clustered calcifications of the inclusion criteria for calcification of N/S equal to or more than 5 pieceswere recruited in the study, and N/S, position and densityof calcification were analyzed. Results A total of 18 clusters of calcifications were detected in 17 cases, of which 9 cases were located in the upper outer quadrant, 5 cases in the central area, 3 cases within the quadrant, and 1 case in lower outer quadrant. 16 lesions of N/S ≥10 accounted for 89% of the proportion, 2 breast cancer had N/S〈10. Of them 17 lesions were sand-like calcification, 1 was granular calcification, 12 clusters of calcification were within a small rod calcification,and branching calcification could be seen in 15 clusters. 18 clustered calcification lesions showed equal or slightly higher density of 10 and a higher density of 8. Conclusion Mammography has important value in the diagnosis of breast cancer with clustered calcification.

关 键 词：乳腺癌 X线摄影术 钙化 

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