43例乳腺癌高频X线影像分析

Analysis of high frequency X ray images in 43 cases of breast cancer

目的通过统计分析一组乳腺癌的高频Ｘ线影像表现，提高对乳腺癌诊断的认识。方法选取经手术、病理证实为乳腺癌的４３例高频Ｘ线摄影片，对其影像表现进行回顾性综合分析。结果４３例乳腺癌中，原发４２例，继发１例。高频Ｘ线上表现为肿块影３８例，其中有毛刺者２６例，恶性钙化灶１３例，乳腺结构紊乱２１例，血管异常相３０例，厚皮征７例，导管或淋巴管引流相９例，鼓腮征或牛角征５例。本组病例高频Ｘ线对乳腺癌的诊断与病理诊断符合率达９５．６％。结论目前对乳腺癌的影像学诊断，高频Ｘ线摄影最具优越性。它有极高的清晰度和对比度，能多轴摄片，对乳腺癌的诊断具有重要价值。能提高隐性癌和微小癌的诊断率，从而提高乳腺癌的治愈率，延长生存期。

Objective To analyse a series of breast cancer images in high frequency X ray for more accurate diagnosis of breast cancer.Methods Forty three high frequency X ray images of breast cancer surgically confirmed were comprehensively analyzed. Results Of the 43 breast cancer cases, 42 were primary breast cancers and one secondary. Tumor mass was present in 38 cases, with burrs in 26. Malignant calcification was found in 13 cases, and structural derangement in 21 cases. There were 30 cases with abnormal blood vessels, and 7 cases with thick skins. Ductal and lymph drainage features were seen in 9 cases. There were 5 cases showing ox horn sign. The high frequency X ray diagnosis of breast cancer conformed with pathologic diagnosis in 95.6% of the cases. Conclusion The advantages of high frequency X ray are its extremely high clarity and good contrast. Pictures can be taken form various axises which help detect occult and tiny cancer.