全数字化乳腺摄影在乳腺病变中的临床应用价值

The Clinical Application of Full Field Digitalization Mammography in Breast Diseases

目的探讨全数字化乳腺摄影(FFDM)在乳腺病变中的临床应用价值。资料与方法搜集经手术病理证实有完整临床资料的乳腺病变共102例,所有患者均行FFDM,结合病理进行影像学分析。结果 102例乳腺病变中乳腺癌31例,乳腺良性病变71例。临床触及肿块者63例,未触及肿块者39例。影像表现为肿块80例,单纯成簇微小钙化4例,结构紊乱并粗长毛刺2例,结构紊乱并微小钙化1例,局部片状致密影14例,无明显影像表现1例。FFDM对乳腺癌诊断敏感性为90.3%,特异性为94.4%,准确性为93.1%。结论 FFDM能清晰显示乳腺病变的X线征象,尤其能够显示乳腺癌的主要X线征象,为临床早期诊断乳腺病变创造了条件,尤其对临床未触及肿块的早期乳腺癌具有重要的临床价值。

Objective To explore the clinical value of full field digitalization mammography（FFDM） in breast diseases.Materials and Methods The imaging data of 102 cases with breast lesions confirmed by operation and pathology were analyzed retrospectively.All patients received full field digitalization mammography.The imaging appearances were compared with pathology.Results Among 102 breast patients,there were 31 breast cancer and 71 benign breast lesions.63 of 102 breast patients could touch the bump and other 39 breast patients could not touch the bump.80 breast lesions appeared as lump on images.4 breast lesions presented as clustered micro calcification on images.2 breast lesions presented as disorganization complicated by long and rough skin needling on images.1 breast lesions presented as disorganization complicated by microcalcification on image.14 breast lesions presented as focal lamellar high density on images.1 patient had normal image appearance.The sensitivity,specificity and accuracy of FFDM to breast cancer were 90.3%,94.4% and 93.1% respectively.Conclusion FFDM can display X ray signs of breast lesions clearly and distinctly.FFDM has important clinical value for breast diseases,especially for patients with breast cancer who could not touch the bump in early phase.