乳腺腺体局限性增厚在乳腺癌早期发现中的临床意义分析

Study for the clinical significance of local thickening of mammary gland in the early diagnosis of breast cancer

目的探讨乳腺腺体局限性增厚在早期乳腺癌诊断中的意义。方法回顾性分析42例行局限性增厚腺体区段切检患者的临床病理资料。结果42例患者中,小叶增生22例(52.4%),囊性增生病18例(42.8%),浸润性导管癌1例(2.4%),导管癌早期浸润1例(2.4%),癌检出率为4.8%。乳腺X线检查可提示该病变部位异常。结论高危高龄妇女乳房的局限性增厚是早期乳腺癌的重要表现。乳腺X线等影像学检查有利于其诊断,对其行病理学检查可以提高早期乳腺癌的检出率。

Objective To analyze the clinical significance of local thickening of mammary gland in the early diagnosis of breast cancer. Methods The clinical data of 42 female patients with local thickening of mammary gland retrospectively reviewed. All the patients were underwent segment biopsy. Results 22 patients were lobule hyperplasia（52. 4% ）, 18 patients were cystic hyperplasia disease（42. 8% ）. 1 patient was infiltration of ductal carcinoma （2.4%）, 1 patient was early infiltration of ductal carcinoma （2.4%）. The detection rate of breast cancer was 4. 8%. The mammography could show the abnormality. Conclusion Symptom developing local thickening of mammary gland in high risk aged women suggests the possibility of early stage breast cancer. And mammography may help the early diagnosis of breast cancer. Pathological examination in these patients could improve the diagnosis accuracy.