临床放射学杂志
臨床放射學雜誌
림상방사학잡지
JOURNAL OF CLINICAL RADIOLOGY
2001年
1期
11-13
,共3页
早期乳腺癌%成簇微细钙化%小结节
早期乳腺癌%成簇微細鈣化%小結節
조기유선암%성족미세개화%소결절
目的 提高对早期乳腺癌X线征象的认识。材料与方法 将40例早期乳腺癌X线征象作回顾性分析。结果 早期乳腺癌X线征象有：泥沙样微细钙化30例(75%)，X线未见肿块或结节而钙化灶为唯一恶性征象者18例(45%)，与对侧乳房比较呈不对称局限性密度增高15例(37.5%)，致密小结节影14例(35%)，乳腺结构局部扭曲紊乱4例(10%)，条索状导管增粗5例(12.5%)，血管影迂曲、增多、增粗1例，无异常X线征显示1例。结论 (1)泥沙样微细钙化仍是早期乳腺癌非常重要的诊断依据，甚至是唯一恶性征象。(2)非对称性局限性密度增高，乳腺结构局部扭曲紊乱，在排除乳腺炎和手术穿刺活检病史后，应考虑早期乳腺癌可能。(3)在串珠型结节样乳腺中混杂着的恶性致密小结节影，易被忽视，须与健侧乳腺仔细对照观察，以发现小癌或微小癌。(4)对临床疑为小纤维腺瘤，如果X线征有边缘模糊或小角状突起时，应予高度重视，进行活检。
目的 提高對早期乳腺癌X線徵象的認識。材料與方法 將40例早期乳腺癌X線徵象作迴顧性分析。結果 早期乳腺癌X線徵象有：泥沙樣微細鈣化30例(75%)，X線未見腫塊或結節而鈣化竈為唯一噁性徵象者18例(45%)，與對側乳房比較呈不對稱跼限性密度增高15例(37.5%)，緻密小結節影14例(35%)，乳腺結構跼部扭麯紊亂4例(10%)，條索狀導管增粗5例(12.5%)，血管影迂麯、增多、增粗1例，無異常X線徵顯示1例。結論 (1)泥沙樣微細鈣化仍是早期乳腺癌非常重要的診斷依據，甚至是唯一噁性徵象。(2)非對稱性跼限性密度增高，乳腺結構跼部扭麯紊亂，在排除乳腺炎和手術穿刺活檢病史後，應攷慮早期乳腺癌可能。(3)在串珠型結節樣乳腺中混雜著的噁性緻密小結節影，易被忽視，鬚與健側乳腺仔細對照觀察，以髮現小癌或微小癌。(4)對臨床疑為小纖維腺瘤，如果X線徵有邊緣模糊或小角狀突起時，應予高度重視，進行活檢。
목적 제고대조기유선암X선정상적인식。재료여방법 장40례조기유선암X선정상작회고성분석。결과 조기유선암X선정상유：니사양미세개화30례(75%)，X선미견종괴혹결절이개화조위유일악성정상자18례(45%)，여대측유방비교정불대칭국한성밀도증고15례(37.5%)，치밀소결절영14례(35%)，유선결구국부뉴곡문란4례(10%)，조색상도관증조5례(12.5%)，혈관영우곡、증다、증조1례，무이상X선정현시1례。결론 (1)니사양미세개화잉시조기유선암비상중요적진단의거，심지시유일악성정상。(2)비대칭성국한성밀도증고，유선결구국부뉴곡문란，재배제유선염화수술천자활검병사후，응고필조기유선암가능。(3)재천주형결절양유선중혼잡착적악성치밀소결절영，역피홀시，수여건측유선자세대조관찰，이발현소암혹미소암。(4)대림상의위소섬유선류，여과X선정유변연모호혹소각상돌기시，응여고도중시，진행활검。
Objective To improve the understanding of the X-ray features ofearly breast cancer.Materials and Methods The mammographic manifestations of 40 patients with early breast cancer were retrospectively analyzed.Results The X-ray signs were as follows: (1) sand-like microcalcifications (n=30, 75%), with it being the only X-ray finding in 18 cases (45%); (2) localized increased density compared with the normal breast (n=15, 37.5%); (3) dense nodules (n=14, 35%); (4) localized tortuosity or disturbance of mammary gland architecture (n=4,10%); (5) dilated mammary duct (n=5, 12.5%); (6) increased tortuous and dilated vessels (n=1); and (7) no abnormal signs (n=1).Conclusion (1) Microcalcification is a very important X-ray sign for diagnosing early breast cancer, sometimes it is the only sign of malignancy. (2) Early breast cancer should be considered when asymmetrical and localized increased densities are present and no history of mastitis or biopsy exists. (3) The malignant dense nodules mixed in beading nodular gland tend to be neglected, one should compare the diseased breast with the normal one in order to detect tiny tumor lesions. (4) Biopsy should be carried out when a small fibroadenoma is suspected clinically and the border of the nodule is hazy or spiculated on mammograms.
