摘要
目的分析乳腺癌钼靶X射线影像学征象,探讨其对乳腺癌的诊断价值。方法选择2005年2月～2008年2月308例乳腺病变患者,均为女性,年龄12～85岁,平均年龄48.5岁。其中经手术病理证实的乳腺癌患者287例。对此病例钼靶X射线征象进行回顾性分析。结果287例乳腺癌中病理浸润性导管癌213例,占74.22%;导管原位癌30例,占10.45%;黏液腺癌15例,占5.23%;髓样癌17例,占5.92%;浸润性小叶癌12例,占4.18%。钼靶X射线影像特征为肿块影的243例,占84.67%(243/287),部分有毛刺样改变或呈分叶状;钙化124例,占43.21%(124/287),42例仅有细小点状钙化;结构紊乱75例,占26.13%(75/287);乳头内陷30例,占10.45%(30/287);厚皮征38例,占13.24%(38/287)。结论临床上根据病史、体检,并结合乳腺钼靶X射线摄影的多种X射线征象对乳腺癌的早期诊断具有重要价值。
Objective To analyze molybdenum target X-ray signs,and explore the value in diagnosis of breast cancer.Methods A total of 308 female breast patients,aged 12-85 years,mean age 48.5 years,were enrolled.The findings on molybdenum target X-ray signs of breast cancer were analyzed retrospectively in 287 patients and compared with postoperative pathological examination.Results It showed that invasive ductal carcinoma of breast has a high incidence（74.22 %）.On roentgenographic images of 287 patients with breast carcinoma,the mass form foci were found in 243（84.67 %）cases eg.calcification 124（43.21 %）cases,42 cases of small punctuate calcification;disorder of structure 75（26.13 %）cases;nipple inversion 30（10.45 %）cases and skin thickening 38（13.24 %）cases.Conclusion Breast cancer have various signs in mammograghy.Clinical touch examination combined with mammograghy is very important approach for diagnosing early breast cancer.
出处
《生物医学工程与临床》
CAS
2009年第5期403-406,共4页
Biomedical Engineering and Clinical Medicine
关键词
乳腺癌
钼靶
X射线诊断
breast cancer
molybdenum target
X-ray diagnosis
