乳腺癌微小钙化的钼靶诊断价值

The Application Value of Diagnosis Mammography in the Breast Cancer

目的:评价乳腺癌微小钙化的钼靶诊断价值。材料与方法:选取河南省襄城县人民医院2011年3月至2012年11月期间2682例乳腺钼靶CR片,并追踪到其中67例乳腺癌患者的手术病例资料,对其钼靶片进行仔细认真的回顾分析、总结。结果:67例乳腺癌患者,男2人,女65人;其中有2人为双侧乳腺癌,共计69个,其中左乳44个,右乳25个。69例中含有钙化的乳腺癌32例,占46.4%。其中肿块伴微小钙化的15例,占21.7%;局部腺体扭曲伴微小钙化的5例,占7.3%;不对称片状腺体致密伴微小钙化的6例,占8.7%;仅有簇状细小多形钙化的6例,占8.7%。不伴有钙化的共37例,占53.6%。其中不规则肿块20例,占29%;类圆形肿块9例,占13%;不对称团片状致密7例,占10.1%;进行性不对称致密1例,占1.5%。结论:乳腺钼靶CR片在乳腺癌的诊断中具有重要的临床价值,尤其是临床触诊阴性的早期乳腺癌者,乳腺钼靶对乳腺癌微小钙化的显示是目前最有效、最可靠、最简便、实惠的检查手段。

Purpose： This paper is to evaluate the application value of mammography in the treatment of breast cancer. Materials and Methods： In this paper, we select 2, 682 Mammography CR tablets from March 2011 to November 2012 in Xiangeheng Peopleg Hospital, and we carry out a statistical analysis and summary with the Mammography CR of 67 Surgical patients. Results： Sixty - seven breast cancer patients （2 males, 65 females） have 69 pathologieal breasts. In these breast cancer patients, 2 patients are bilateral breast cancer and the others are all unilateral breast cancer, including 44 left pathological breasts, 25 right pathological breasts. There are 32 calcification breasts （46.4%） in the 69 pathological breasts, inc, luding 15 breasts （21.7%） of lump with micro - calcifications breasts and 5 breasts （7.3%） of local glands distortions associated with micro - calcifications; Six breasts （8.7%） of asymmetrical sheet glands densification associated with micro - calcifications. Just six breasts of cluster - like and small pleomorphic calcification account for 8.70/;. There are 37 breasts of no caleification, accounting for 53.6% and including 20 breasts （29%） with irregular lump; Nine breasts with class round lump, account tbr13% ; Seven breasts of asymmetric group sheet tight, account for 10. 1%; One breast with progressive asymmetric dense, account for 1.5%. Conclusion： Mammography CR has important clinical value in the diagnosis of breast cancer, especially in early breast cancer of clinical palpation negative. Mammography for the display of breast micro - calcifi- cations is the most effective, most reliable, and most convenient examination method.