乳腺高频钼靶X线检查中细小钙化的探讨

Application of Mammography in Fine Calcification

目的:通过高频钼靶X线检查发现早期乳腺癌。方法:回顾性分析60例临床及B超阴性的隐性乳腺癌,做乳腺高频钼靶X线检查,观察病变的部位、大小、形态、边缘、密度及其分布情况。结果:乳腺癌13例占21.7%,乳腺纤维腺瘤7例占8.6%,乳腺腺病40例占66.7%。乳腺癌在钼靶X线照片显示乳腺实质内的针尖样、小分枝状或泥沙样钙化病灶,密度均匀一致,多发成簇。乳腺良性疾病在钼靶X线照片显示乳腺实质和间质中的小点状、小杆状或粗大圆形钙化病灶,大小不一,密度不均匀,数目小且分布散在。结论:乳腺高频钼靶X线检查能够发现临床及B超明性的隐性乳腺癌,大大提高早期诊断率,临床上可以广泛推广。

Objective： Early stage breast carcinoma could be discovered by X-ray mammography. Methods： Early stage breast carcinoma of 60 cases underwent by Mammography, which were confirmed by clinical and B-Ultrasound showed negative. The analysis of imaging characteristics included the number, position, size. shape, margin, density and distribution. Results： Early stage breast carcinoma was seen 13 cases, accounting for 21.70%. Breast fibro adenomas were seen 7 cases, accounting for 8.6 %. Breast ad enosis was seen 40 cases, accounting for 66.7%. Early stage breast carcinoma was showed branched, sand or needle point calcification, signal density, clustered fine calcification. Breast benign tumor were showed point or large round calcification, unequal size, heterogeneous density, small number, sporadic distribution. Conclusion.. Early stage breast carcinoma could be discovered by mammography, making a more early diagnosis, they could play important role in the clinical practices.