48例乳腺癌的CR钼靶摄影征象与病理对照研究

Correlative study of CR mammographi c signs and pathologic findings in 48patients with breast carcinoma

目的阐述乳腺癌的CT钼靶摄影征象及其与病理类型的相关性。方法回顾48例行钼靶摄影及术后病理诊断为乳腺癌的临床资料,通过双盲法记录各病例的影像表现和病理类型。结果浸润性导管癌在CR上常表现为毛刺样肿块,其次为钙化;浸润性小叶癌则表现为腺体扭曲和不对称密度;硬癌以长毛刺状肿块多见;原位癌常以微钙化为唯一的CR异常;乳腺粘液癌常表现为边界光滑肿块。结论CR钼靶摄影是早期发现和诊断乳腺癌最有效的方法之一;乳腺癌的影像表现与其生长和浸润方式有关。

Objective To explain the correlation between t he mammographic signs and the pathol ogic findings of breast carcinoma.Meth-ods A retrospective analysis of molybdenum target mammography images was performed in 48patients with surgically and pathologically con-firmed breast carcinoma.The mammographic and pathologic findings were recorded by a double blind method.Results The most common mam-mographic finding of infiltrating d uct carcinoma was mass lesion with sp iculate border,followed by calcifi cation;the infiltrating lobular ca rcino-ma was frequently characterized by d istorted glands and asymmetric density;the only mammographic abnormality of intraepithelial carcinoma was microcalcification;mucous -li ke breast carcinoma often presented as well defined mass lesion.Conclusion CR -mammography is one of the most effective means to detect early breast carcinoma because the r adiological findings of breast carc inoma is close correlated with its growing and infiltrating patterns.[