CAJ | 학술논문

目的：应用FFDM技术，通过分析不典型乳腺癌的乳腺X摄影的影像表现特征，提高不典型乳腺癌的早期诊断率。方法回顾性分析71例不典型乳腺癌的FFDM X线表现特征，进而分析影像学特征表现与病灶部位的关系。结果71例不典型乳腺癌中位于腺体边缘和乳腺后间隙的病灶80％为高密度结节（包括伴随钙化的病灶），73.68％的致密影、结构紊乱和单纯钙化与乳腺腺体重叠。结论对临床触及的活动结节，多位于腺体边缘和乳腺后间隙内的高密度结节，应仔细分析病灶的具体表现，不应忽视不典型乳腺癌的诊断；临床触诊阴性或触及质韧组织的不典型乳腺癌往往病灶与腺体重叠，需要双侧对照、放大观察，减少误诊。
목적：응용FFDM기술，통과분석불전형유선암적유선X섭영적영상표현특정，제고불전형유선암적조기진단솔。방법회고성분석71례불전형유선암적FFDM X선표현특정，진이분석영상학특정표현여병조부위적관계。결과71례불전형유선암중위우선체변연화유선후간극적병조80％위고밀도결절（포괄반수개화적병조），73.68％적치밀영、결구문란화단순개화여유선선체중첩。결론대림상촉급적활동결절，다위우선체변연화유선후간극내적고밀도결절，응자세분석병조적구체표현，불응홀시불전형유선암적진단；림상촉진음성혹촉급질인조직적불전형유선암왕왕병조여선체중첩，수요쌍측대조、방대관찰，감소오진。
Objective Improve the early diagnosis of non-typical breast carcinoma by using full-field digital mammography exami-nation and analyzing imaging features .Methods Through retrospective analysis of 71 cases of non-typical breast carcinoma full-field digital mammography X-ray features, and then analyzes the performance characteristics of the relationship with the lesion site .Results 80% high-density nodules ( including with calcification ) were located mammary space or nearby mammary glands in 71 cases. 73.68% dense shadows and structural disorders and simple calcifications were overlapped the breast glands .Conclusions Activities nodules of clinical palpation were usually high -density nodules located in mammary space and nearby mammary glands , lesions should be carefully analyzed the specific performance and should not be overlooked diagnosis of non -typical breast carcinoma .The lesions were often overlapped with the mammary glands ,which palpated none lesions by clinical palpation or touched quality tough tissue .It should be need to control observation bilateral breast and magnify its observations to reduce misdiagnosis .