乳腺钙化诊断良恶性疾病的临床钼靶X线分析——附380例报告  

Analysis of clinical mammography of breast calcification for diagnosis of benign and malignant diseases:a report of 380 cases

作　　者：郜玉书 严芳 朱建波 GAO Yu-shu;YAN Fang;ZHU Jian-bo(Radiology Department,Taizhou Obstetrics and Gynecology Hospital Affiliated to Nantong University,Taizhou 225300,China)

机构地区：[1]南通大学附属泰州妇产医院放射线科,225300 [2]南通大学附属泰州妇产医院乳外科,225300

出　　处：《中国实用医药》2024年第2期85-88,共4页China Practical Medicine

摘　　要：目的 分析乳腺疾病患者的乳腺钙化性质及钼靶X线影像表现,为临床提供最佳治疗方案具有重要意义。方法 回顾型分析经穿刺、麦默通、手术临床病理证实且资料完整的380例乳腺疾病患者的临床资料,所有病例均行钼靶X线检查,对其钙化形状、边缘、大小、密度、数目、分布及周围临近组织影像改变进行回顾性综合分析。结果 380例患者中良性钙化296例,占78%,其中纤维囊性变41例、乳导管钙化69例、血管钙化17例、皮脂腺钙化3例、脂肪瘤3例、手术缝合线钙化4例、外伤瘢痕钙化3例,出血机化2例,结节钙化68例,退行性变14例,纤维腺瘤72例;恶性钙化84例,占22%,其中浸润导管癌56例、髓样癌18例、浸润小叶癌6例、囊腺癌4例。乳腺钙化分腺体组织内钙化和腺体组织外钙化,腺体组织内(导管内或小叶腺泡内)345例、腺体组织外35例,其中血管钙化17例、外伤瘢痕钙化3例、手术缝合线钙化4例、积乳囊肿7例、皮脂腺钙化3例、脂肪瘤3例。斑片状、点状钙化密度较高、边缘清晰,泥沙样、针尖样蠕虫样钙化,密度较低、边缘欠清晰;圆环形、双轨样钙化形状固定。结论 分析乳腺良恶性钙化征,对乳腺良恶性病变诊断鉴别诊断,特别是微小乳腺癌、导管浸润癌的早期诊断早治疗具有重要临床意义。Objective To analyze the nature and mammography of breast calcification,so as to provide the best clinical treatment plan for clinic.Methods Retrospective analysis was performed on the clinical data of 380 patients with breast diseases confirmed by puncture,Mammotome and surgical clinicopathology and with complete data,all cases were examined by mammography,and a retrospective and comprehensive analysis was performed to analyze the shape,margin,size,density,number,distribution and image changes of the surrounding tissues of calcification.Results 380 cases in this study,there were 296 cases of benign calcification,accounting for 78%,including 41 cases of fibrocystic change,69 cases of milk duct calcification,17 cases of vascular calcification,3 cases of sebaceous gland calcification,3 cases of lipoma,4 cases of surgical suture calcification,3 cases of traumatic scar calcification,2 cases of hemorrhagic mechanism,68 cases of nodular calcification,14 cases of degenerative change and 72 cases of fibroadenoma.There were 84 cases of malignant calcification,accounting for 22%,among which 56 cases of infiltrating ductal carcinoma,18 cases of medullary carcinoma,6 cases of infiltrating lobular carcinoma and 4 cases of cystadenocarcinoma.Breast calcification was divided into intra-glandular tissue calcification and extra-glandular tissue calcification,with 345 cases of intra-glandular tissue(within ducts or lobular follicles) calcification and 35 cases of extra-glandular tissue calcification,including 17 cases of vascular calcification,3 cases of traumatic scar calcification,4 cases of surgical suture calcification,7 cases of cyst of galactostasia,3 cases of sebaceous gland calcification,and 3 cases of lipoma.Patchy,punctate calcifications with high density and well-defined margins;mud-like,acicular worm-like calcifications with low density and poorly defined margins;circular,double-track-like calcifications with a fixed shape.Conclusion The analysis of benign and malignant breast calcification signs is of great clinical s

关 键 词：良恶性钙化 早期诊断 沿乳叶分布 簇状钙化 结构聚集 

分 类 号：R737.9[医药卫生—肿瘤]