摘要
目的分析乳腺浸润性小叶癌患者的临床病理特点。方法将2010年11月-2012年12月检查并进行手术治疗的50例乳腺浸润性小叶癌(ILC)患者作为研究对象,同时将其资料与同期的55例乳腺浸润性导管癌患者资料进行对比分析。结果 50例患者的影像资料中,进行乳腺彩超检查的病灶34例(68%),乳腺钼靶片为阳性表现的患者37例(74%),彩超或钼靶片检查异常表现的患者45例(90%)。此外,乳腺浸润性小叶癌(ILC)患者在肿瘤大小、年龄分布及月经状况与激素受体表达情况等方面与乳腺浸润性导管癌(IDC)患者无明显差异,P>0.05。浸润性小叶癌患者的ER及PR阳性的表达率无明显差异,但比浸润性导管癌患者阳性的表达率高。结论 ILC影像学不典型,应采用彩超及钼靶片进行联合检查可提高对ILC患者的诊断率,更好地明白ILC疾病发病的规律与病理特点,提高临床诊治的水平。
Objective To analyze the characteristics of clinical pathology patients with invasive lobular carcinoma.Methods 50 patients with invasive lobular carcinom（aILC）examined and received operation in our hospital from November 2010 to December 2012 were selected as the research objects.And the clinical data of the patients and 55 patients with breast infiltrating ductal carcinoma were analyzed.Results In the clinical data of 50 image patients,34 patients received lesion examination of ultrasonography（68%）,breast molybdenum target piece of 37 patients had positive performance（74%）,and 45 patients were examined abnormal behaviour by ultrasonography or mammography（90%）.And there was no evident difference between ILC and IDC in tumor size,age distribution,menstrual status and hormone receptor expression,P0.05.There was no evident difference in expression percentage of ER and PR for patients with invasive lobular carcinoma,but it was higher than expression percentage of the patients with IDC.Conclusion ILC iconography is not typical.So ultrasonography and mammography should be applied for joint inspection,which can improve diagnostic rate of ILC patients,understand easily the pattern and pathological characteristics of ILC attack and improve the level of clinical diagnosis and treatment.
出处
《当代医学》
2013年第22期13-14,共2页
Contemporary Medicine
关键词
乳腺浸润性小叶癌
临床病理
诊治水平
Invasive lobular carcinoma
Clinical pathology
Level of diagnosis and treatment
