乳腺癌钙化168例X线分析

X-ray analysis of calcification of breast carcinoma in 168 cases

目的 通过对乳腺癌钙化的分析 ,评估钼靶软线摄影对乳腺癌钙化的诊断意义。方法 对 16 8例女性患者采用上海产MO 30型乳腺摄影机进行乳腺照相 ,并对照手术病理结果 ,分析乳腺癌钙化的X线特征 ,病理类别关系及临床指导意义。结果 乳腺癌钙化的出现率是 32 % ,其中恶性钙化占 96 % (16 1/ 16 8) ,乳腺癌钙化而无肿物的占 2 8% (4 7/ 16 8) ,乳腺癌钙化以导管内癌及浸润性导管癌为首位 ,占 73 % (12 2 / 16 8)。结论 乳腺钼靶软线摄影在诊断乳腺癌钙化方面是其它影像学检查所不能替代的 ,在诊断与鉴别诊断中有重要价值。

Objective To analyze the X ray findings of calcification of breast carcinoma and to evaluate the diagnostic value of mammography for benign and malignant calcification of breast cancer. Method Mammograms were performed in 168 women patients by MO 30 special unit for mammography made in Shanghai. All cases had X ray, surgery and pathologic examinations. The authors analysed some X ray characteristics of calcification of breast carcinoma and determined the pathologic type and the clinical value. Result Breast carcinoma calcification detection rates of mammogram were 32%, malignant calcification was 96%(161/168), pure calcification of breast carcinoma incompatible with masses was 28%(47/168). Duct internal carcinoma and duct invasive carcinoma in calcification of breast carcinoma were 73(122/168). Conclusion Compared with other imaging, mammography is a reliable method of diagnosing calcification of breast carcinoma, playing an important role in diagnosis and differential diagnosis.