CAJ | 학술논문

目的：分析肿块型乳腺浸润性导管癌的钼靶表现，进一步提高诊断水平。方法对经手术病理证实，且术前均行全数字化乳腺摄影检查的肿块型浸润性导管癌60例的X线征象进行回顾分析。结果60例X线征象：分叶状肿块6例，边缘规则肿块2例，边缘不规则肿块35例，星芒状肿块10例，边界模糊或呈浸润性改变37例，肿块合并钙化26例，伴有毛刺25例，伴乳头凹陷11例，伴皮肤增厚15例，伴大导管征6例。结论肿块边缘的浸润性改变或边缘的不规则可能是浸润性导管癌最常见的X线表现，其他征象依次为肿块合并钙化、乳头及皮肤改变以及大导管征的出现，亦对定性诊断颇具意义。
목적：분석종괴형유선침윤성도관암적목파표현，진일보제고진단수평。방법대경수술병리증실，차술전균행전수자화유선섭영검사적종괴형침윤성도관암60례적X선정상진행회고분석。결과60례X선정상：분협상종괴6례，변연규칙종괴2례，변연불규칙종괴35례，성망상종괴10례，변계모호혹정침윤성개변37례，종괴합병개화26례，반유모자25례，반유두요함11례，반피부증후15례，반대도관정6례。결론종괴변연적침윤성개변혹변연적불규칙가능시침윤성도관암최상견적X선표현，기타정상의차위종괴합병개화、유두급피부개변이급대도관정적출현，역대정성진단파구의의。
Objective To analyze the important mammographic features of full field digital mammography in infiltrative ductal carcinoma, and to improve the preoperative diagnosis level. Methods Sixty cases confirmed by surgery and pathology were collected and retrospectively analyzed in the study. All cases had been examined with full field digitalmammography before surgery. Results Among 60 cases X-ray signs, there were 6 cases with lobulated mass, 2 cases with regular mass, 35 cases with round and irregular mass, 10 cases with asterism-shaped mass, 37 cases with local dissymmetrical infiltration or abnormal structures, 26 cases combining with masses, 25 cases com-bined with veining, 11 cases combined with nipple retraction, 15 cases combined with local skin thickening and 6 cases combined with positive duct sign. Conclusions Mass and malignant calcification are the most common features of infiltrative ductal carcinoma, which is important in diagnosis, there are some unusual features, such as local dissym-metrical infiltration or abnormal structures, the change of nipple and skin, and positive duct sign.