多量腺体型及致密型乳腺癌的X线分析

X-ray feature of plentiful glands and dense breast

目的总结多量腺体型及致密型乳腺患者乳腺癌易漏诊的钼靶X线征象,提高这类乳腺癌术前诊断符合率。方法回顾分析手术病理证实的40例多量腺体型或致密型乳腺乳腺癌患者的X线表现。结果 40例患者,钼靶片8例显示乳腺内肿块影;32例仅表现为非对称性改变,包括局限性致密6例、结构扭曲8例,两者伴随出现18例,其中有3例行导管造影后导管可见相应改变。结论对多量腺体型及致密型乳腺的乳腺检查时尤其要注意对比同一投照位置的双侧乳腺,仔细观察非对称性改变,结合临床及其它检查有助于提高此类病患乳腺癌的诊断符合率。

Objective To investigate the easily missed signs of breast cancer with mammography in patients with plenti- ful glands or dense breast, in order to improve the preoperative diagnosis. Methods X-ray features of 40 patients with plentiful glands or dense breast pathologically confirmed as breast cancer were retrospectively analyzed. Results Of 40 patients, mam- mography showed 8 cases of visible breast mass; 32 cases of asymmetry changes, including 6 cases of local increased density, 8 cas- es of architecture distortion, and 18 cases of both. Galaetography showed according changes in 3 cases. Conclusion More atten- tion should be paied to compare bilateral breast at the same position and to find the asymmetry changes when reading the mammog- raphy of patients with plentiful glands or dense breast It is helpful to improve the diagnosis when combining with clinical and other examination.