CAJ | 학술논문

目的:评价全数字化乳腺摄影诊断同时性双侧原发性乳腺癌的价值.材料和方法:回顾性分析2005-11～2008-12同时性双侧原发性乳腺癌21例,使用GE公司全数字化平板乳腺X线机,经临床及病理证实,符合同时性双侧乳腺癌的诊断标准.结果:第一原发癌以Ⅱa期为主,浸润性导管癌12例,导管原位癌5例,浸润性小叶癌2例,浸润性筛状癌1例,混合细胞癌1例;5例以微钙化为主要表现,13例肿块,局部密度增浓1例,2例未见异常;第二原发癌以0期为主,浸润性导管癌7例,导管原位癌12例,浸润性小叶癌1例,混合细胞癌1例;11例以微钙化为主要表现,肿块3例,结构不良4例,局部密度增浓1例,2例未见异常.结论:FFDM检查和仔细的外科查体相结合是对已经确诊一侧乳腺癌的患者随访的一种有效方法.
목적:평개전수자화유선섭영진단동시성쌍측원발성유선암적개치.재료화방법:회고성분석2005-11～2008-12동시성쌍측원발성유선암21례,사용GE공사전수자화평판유선X선궤,경림상급병리증실,부합동시성쌍측유선암적진단표준.결과:제일원발암이Ⅱa기위주,침윤성도관암12례,도관원위암5례,침윤성소협암2례,침윤성사상암1례,혼합세포암1례;5례이미개화위주요표현,13례종괴,국부밀도증농1례,2례미견이상;제이원발암이0기위주,침윤성도관암7례,도관원위암12례,침윤성소협암1례,혼합세포암1례;11례이미개화위주요표현,종괴3례,결구불량4례,국부밀도증농1례,2례미견이상.결론:FFDM검사화자세적외과사체상결합시대이경학진일측유선암적환자수방적일충유효방법.
Purpose To evaluate the efficacy of full-field digital mammography (FFDM) in detecting bilateral primary breast cancer. Materials and Methods From November 2005 to December 2008, 21 cases with clinical-pathologically verified synchronous bilateral breast cancer were examined using GE FFDM. Results For the first primary lesions, most of them were stage IIa, including 12 invasive ductal carcinoma, 5 DCIS, 2 invasive lobular carcinoma, a invasive carcinoma with cribriform pattern and 1 case mixed-cell carcinoma. On FFDM,5 had microcalcification, 13 were mass, 1 showed focal high attenuation and 2 were not detected. For the second primary lesions, most of them were stage 0, including 7 invasive ductal carcinoma, 12 DCIS, 1 invasive lobular carcinoma, 1 mixed-cell carcinoma. On FFDM,11 had microcalcification, 3 were mass, 4 were architecture distortion, 1 showed focal high attenuation and 2 were not detected. Conclusion FFDM and careful physical examination contributes to the detection of the contralateral cancer for the patients with unilateral breast cancer.