乳腺癌的钼靶X线分析

X-Ray Aanalysis of Breast Cancer

目的探讨乳腺癌X线的直接征象和间接征象在乳腺癌诊断中的作用。方法对64例经病理证实的乳腺癌的钼靶X线直接和间接征象进行回顾性分析。结果年龄40～60岁为乳腺癌的高发年龄（34例,53.1%）。发病部位以外上象限多见（38例,59.40%）。乳腺癌的直接征象：肿块58例（90.1%）,多形性不规则密集钙化18例（28.1%）,乳腺结构紊乱4例（6.2%）。间接征象：异常血管20例、厚皮征22例、乳头凹陷12例、漏斗征6例。结论钼靶X线乳腺摄影是诊断乳腺癌的首选方法,结合乳腺癌各种X线征象分析,一般可以做出正确的诊断。

Objective To inquire into the action of the direct and indirect signs of breast cancer. Methods The direct and indirect signs of molybdenum target radiography of breast cancer in 64 cases confirmed by pathology were retrospectively analysed. Results Among 64 case,34 cases （ 53.1% ） were proved in breast Cancer of high - risk ages （ 40 - 60y ）. The predilecion sites were located in the lateral upper quadrant （ 59.40% ）. The direct signs of breast cancer by mammography were mass formation in 58 cases （90.1%） ,multimorphologic irregular clustering of calcification in 18 cases （ 28. 1 % ） , structural distortion of breast tissue in 4 cases （ 6.2% ）. The indirect signs included ： 20 cases of abnormal bloed vessel,22 cases of thickening of the skin, 12 cases of depression of mammary papilla,6 cases of Funnel Phenomenon. Conclusion Molybdenum target mammography is one of the effective means in dignosis of breast cancer combined with a variety of X - ray signs of breast cancer. We can make the correct diagnosis in general.