炎性乳癌的钼靶表现及其误诊分析  

Molybdenum target of inflammatory breast cancer and its misdiagnosis

作　　者：方燕燕 黄刚[2] Fang Yanyan;Huang Gang(Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学临床医学院,兰州730000 [2]甘肃省人民医院放射科

出　　处：《实用医学影像杂志》2019年第6期569-571,共3页Journal of Practical Medical Imaging

基　　金：甘肃省人民医院院内科研基金（16GSSY1-7）

摘　　要：目的通过回顾性分析炎性乳癌的乳腺钼靶表现特征,皆在提高对炎性乳癌术前诊断的准确性,以减少误诊。方法回顾性分析2015年10月至2018年10月4例经手术病理证实为炎性乳癌的病例,并分析总结其钼靶表现特征。结果炎性乳癌钼靶征象缺乏特异性,主要表现为肿块,部分伴浸润性改变;皮下脂肪层呈索条状致密影,皮肤局部增厚;乳头凹陷,乳晕区增厚;血管影较对侧增粗、迂曲;部分病例可见腋下淋巴结肿大。结论炎性乳癌恶性程度极高,且乳腺钼靶表现又缺乏特异性,需结合临床病史,提高炎性乳癌术前诊断率,尽可能减少误诊。Objective To retrospective analysis of the mammary gland target characteristics of inflammatory breast cancer is improving the accuracy of preoperative diagnosis of inflammatory breast cancer to reduce misdiagno-sis. Methods A retrospective analysis of 4 cases of inflammatory breast cancer confirmed by surgery and pathology during October 2015 to 2018 and analysis of its characteristics of mammography. Results The mammary gland target of inflammatory breast cancer lacked specificity, mainly as a mass, and some showed invasive changes. The subcutaneous fat layer was densely shadowed and the skin was locally thickened, the nipple was depressed, the areola area was thickened. The contralateral side was thickened and distorted;in some cases, the lymph nodes were seen under the armpits. Conclusion The malignant degree of inflammatory breast cancer is extremely high, and the mammary gland target is lack of specificity. It is necessary to combine the clinical history to improve the preoperative diagnosis rate of inflammatory breast cancer and minimize misdiagnosis.

关 键 词：炎性乳癌 乳腺钼靶 误诊 

分 类 号：R73[医药卫生—肿瘤]