CAJ | 학술논문

目的探讨乳腺常规钼靶摄影与局部加压放大钼靶摄影显示乳腺肿块的恶性征象与手术病理定性诊断的正确率.方法对65例乳腺癌患者进行常规钼靶摄影及局部加压放大钼靶摄影检查,并将X线征象进行对照性分析.结果 65例乳腺癌病例中,普通常规钼靶摄影与局部加压放大钼靶摄影检查结果在恶性符合病理检查例数分别为16例、60例,钙化灶显示例数分别为19例、41例,导管型钙化显示例数分别为13例、37例,混合型钙化显示例数分别为0例、4例,分叶征及毛刺征的显示例数分别为18例、46例、14例、59例.结论局部放大摄影对乳腺肿块的诊断明显优于常规乳腺钼靶,对团状致密影、细小钙化、致密型乳腺病变性质的评估有重要的价值,能明显提高诊断正确率,尤其能提高早期乳腺癌的检出率.
목적 탐토유선상규목파섭영여국부가압방대목파섭영현시유선종괴적악성정상여수술병리정성진단적정학솔.방법 대65례유선암환자진행상규목파섭영급국부가압방대목파섭영검사,병장X선정상진행대조성분석.결과 65례유선암병례중,보통상규목파섭영여국부가압방대목파섭영검사결과재악성부합병리검사례수분별위16례、60례,개화조현시례수분별위19례、41례,도관형개화현시례수분별위13례、37례,혼합형개화현시례수분별위0례、4례,분협정급모자정적현시례수분별위18례、46례、14례、59례.결론 국부방대섭영대유선종괴적진단명현우우상규유선목파,대단상치밀영、세소개화、치밀형유선병변성질적평고유중요적개치,능명현제고진단정학솔,우기능제고조기유선암적검출솔.
Objective To discuss the correlationship between the diagnosis of surgical pathology and the signs of malignancy which is both displayed by breast conventional mammography and amplificatory mammography with partial compression.Methods 65 cases with breast cancer were examined by both breast conventional mammography and amplificatory mammography with partial compression.The results of the two methods were analyzed.Results In all 65 cases of breast cancer,the comparison between breast conventional mammography and amplificatory mammography with partial compression could provide 16/60 cases in the X-ray signs of malignancy,which were in accordance with pathological examination results,19/41cases in the occurrence of calcification,13/37 cases in ductal calcification,0/4 cases in mixed type calcification,18/46 and 14/59 cases in the occurrence of lobulation and spicule signs.Conclusion Amplificatory mammography with partial compression can provide better insight in breast cancer than conventional mammography,especially in the region of dense shadow,small calcification and dense breast lesions,amplificatory mammography with partial compression can provide higher accuracy in diagnosis,especially for early breast cancer.