乳腺癌X线征象78例分析

Mammographic Findings of Breast Cancers(Analysis of 78 Cases)

目的 提高乳腺癌 X线的早期诊断率。 方法 收集经手术病理证实的乳腺癌 78例 ,乳腺良性病变10 9例。以恶性钙化、大导管相、漏斗征、异常血管相、皮肤增厚、牛角征、塔尖征及腋下淋巴结肿大八个影像学征象为分析对象 ,并比较良恶性乳腺病变钙化特征。 结果 八个征象是乳腺癌的特异征象 ,良性病变较少出现且表现不同。良恶性乳腺疾病的钙化特征存在显著差异。 结论 乳腺癌在肿块形态不明确情况下 ,相关 X线征象是早期乳腺癌

Objective\ To study the mammographic findings of breast cancers and improve the diagnostic accuracy of early breast cancers.\ Methods\ Mammograms of 78 breast cancers and 109 benign breast diseases, verified by surgery and pathology, were studied retrospectively.\ Eight X\|ray findings were analyzed: malignant calcification, dilated duct, “funnel”, abnormal vessels, skin thickening, “cow angle”, “tower tip”, and axillary adenopathy.\ The characteristics of benign and malignant calcification were compared.\ Results\ Eight X\|ray findings were characterized in the breast cancers.\ Benign breast diseases presented much fewer these features.\ The calcification feature of benign and malignant breast diseases had significant differences.\ Conclusion\ When the shape of breast cancer is difficulty to be recognized, the associated mammographic features are necessary for diagnosing early breast cancer.\;