单纯型乳腺黏液癌临床X线表现分析  被引量:2

The analysis of clinical X-ray findings of simple breast mucinous carcinoma

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作  者:隋旭蕾 梁鹏[1] 冯佩佩[1] 唐小锋[1] SUI Xulei;LIANG Peng;FENG Peipei;TANG Xiaofeng(Department of Radiology,The Yantaishan Hospital,Yantai 264008,P.R.China)

机构地区:[1]山东省烟台市烟台山医院放射科,山东烟台264008

出  处:《医学影像学杂志》2021年第7期1168-1172,共5页Journal of Medical Imaging

摘  要:目的分析总结单纯型乳腺黏液癌临床X线表现特征,提高对其认识水平与诊断水平。方法选取28例单纯型乳腺粘液癌的数字化X线影像表现,分别与影像学表现较为相似、且易与之相混淆的乳腺叶状肿瘤及纤维腺瘤进行对照分析,以发病年龄、乳腺腺体分型、肿块大小、肿块密度、肿块形态、肿块边缘、肿块周围、肿块内部或周围有无钙化以及钙化的分布与形态等X线表现为观察评价指标,采用SPSS 18.0统计软件对其进行分析,以P<0.05为差异有统计学意义。结果1)发病年龄:平均年龄(55.79±11.31)岁,本组中大于50岁患者17例,明显高于纤维腺瘤及叶状肿瘤;2)肿块形态及边缘:以钝缘不规则形肿块(39.3%)为其特征之一,表现为边缘清晰、可伴深分叶状肿块(63.6%);但仍以圆形与卵圆形、边缘清晰与遮蔽占比较多;3)肿块周围:肿块周围无晕征(0.0%)为其另一特征表现;4)肿块伴钙化(21.4%),特别是外形呈良性X线表现的肿块伴有可疑钙化,具有高度提示意义;5)其他:腺体分型、肿块大小及密度对诊断单纯型乳腺黏液癌意义不大。结论单纯型乳腺黏液癌具有一定的X线表现特征,当患者年龄大于50岁,发现单发高密度肿块,呈钝缘不规则形,或圆形/卵圆形肿块但周围无晕征表现,边界清晰或伴有深分叶,高度提示单纯型乳腺黏液癌的可能。Objective To discuss the characteristics of clinical X-ray findings of simple breast mucinous carcinoma so as to improve the diagnostic level.Methods Digital X-ray images of 28 cases of simple mucinous carcinoma of the breast were retrospectively analyzed and compared with phyllodes tumors and fibroadenomas of the breast which had similar and confusing imaging manifestations.The X-ray manifestations including the age of onset,breast gland classification,mass size,mass density,mass morphology,mass edge,mass periphery,calcification in or around the mass,and the distribution and morphology of calcification were comprehensively analyzed.SPSS 18.0 statistical software was used,andP<0.05 was statistically significant.Results 1)The average age was(55.79±11.31)years,which was the longest in order.The patients with more than 50 years old were the main patients in the group,17(60.7%)of the 28 patients,significantly higher than fibroadenoma and phyllodes tumor of breast;2)The mass was characterized by an irregular shape 39.3%with a blunt margin,which had a clear margin and may be deeply lobed 63.6%.However,the ratio was much higher in the round and oval shape,with the clear and shaded margin;3)Another characteristic was no halo sign around the mass;4)The mass with calcification 21.4%,especially the mass with benign X-ray appearance and with suspicious calcification,was highly suggestive;and 5)Others,such as gland typing,mass size and density,had little significance in the diagnosis of simple mucinous carcinoma of breast.Conclusion The clinical X-ray findings of simple breast mucinous carcinoma have certain characteristic.When a patient older than 50 years of age,finding a single high-density mass,with blunt irregular shape,or round/oval mass without halo signs around the mass,clear boundary or accompanied by deep lobulation,the possibility of simple breast mucinous carcinoma should be considered.

关 键 词:乳腺黏液癌 乳腺肿块 数字化乳腺X线摄影 

分 类 号:R737.9[医药卫生—肿瘤] R814.4[医药卫生—临床医学]

 

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