摘要
目的提高乳腺X线摄影对乳腺癌诊断的认识。方法回顾1998～2001年106例经手术病理证实为乳腺癌的X线征象。结果106例乳腺癌患者,X线正确诊断为乳腺癌98例,误诊为纤维瘤2例,增生团块4例,良性病变2例,X线表现正常2例。正确率92.5%,误诊率7.5%。X线表现:肿块结节影86例;簇样钙化81例,其中47例为泥沙样钙化,34例为蠕虫样或混合钙化;间接征象:小灶致密影、结构紊乱、乳头内陷和皮肤增厚。结论乳腺X线摄影对乳腺癌的诊断目前仍是首选的影像学检查方法。
Objective To determine the utility of roentgen ography for diagnosing breatst carc inoma.Methods Radiographic findings of 106patients withsurgically andpathologically provedbreastcarcinom a were analyzedretrospectively.Results Among106patients,roentgenogra-phy correctly diagnosed 96cases of breast carcinoma (92.5%)while other 10cases were misdiagnosed or leakdiagnosed in which 2were misdiagnosed as mammary fibroma,4a s proliferative masses,2as binegn l esions,and 1case was non -abnormal.Characteristic radiograph-ic findings of the breast carcinoma were found to be mass -nodous shadows i n 86cases,of them,gregarina like calcification in 81cases who included sand like calcificatio n in 47and helminth like calcification or mixed calcification in 34cases.The mediate signs of the breast catcinoma were found to be dense smal l focus shadows,structural disturb ances,mammary papilla invaginatio ns and skin thick-ened.Conclusion For the diagnosis of breast carcinom a,now mammary roentgenography still is worthy to be first sclected means.[
出处
《实用医学影像杂志》
2003年第3期165-167,共3页
Journal of Practical Medical Imaging
关键词
乳腺X线摄影
乳腺癌
诊断
Roentgenography
Breast carcinoma
Diagnosis
