中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
CHINESE JOURNAL OF CT AND MRI
2015年
1期
5-7
,共3页
乳腺癌%钼靶%乳腺肿瘤%鉴别诊断%X线
乳腺癌%鉬靶%乳腺腫瘤%鑒彆診斷%X線
유선암%목파%유선종류%감별진단%X선
Breast%Mammography%Breast Neoplasms%Differential Diagnosis%X-ray
目的：分析乳腺癌钼靶X线摄影征象，并与乳腺良性病变进行鉴别。方法选择62例乳腺癌患者为研究对象。另选择以肿块为主要表现的乳腺良性病变30例，以钙化为主要表现的乳腺良性病变30例进行对照。所有患者均接受乳腺钼靶X线检查。观察乳腺癌病灶钼靶X线摄影征象，包括病变大小、形态、密度、边缘等，重点分析肿块及钙化特征。并与乳腺良性病变进行对比。结果1.乳腺癌主要征象包括单纯肿块、单纯钙化、肿块合并钙化及钙化合并结果扭曲等。其中表现为肿块最多，共52例，比例为83.9%，表现为钙化次之，共23例，比例为37.1%。2.在肿块径线方面，乳腺癌与乳腺良性病变边界无统计学差异(P＞0.05)。但乳腺癌形态不规则，边缘毛刺、分叶及边界模糊的比例显著高于乳腺良性病变，差异具有统计学意义(P＜0.05)。3.乳腺癌病变中泥沙、短棒及针尖样钙化的比例显著高于乳腺良性病变，而乳腺良性病变圆点、小片及蛋壳样钙化的比例显著高于乳腺癌，差异均具有统计学意义(P＜0.05)。结论乳腺癌钼靶X线征象主要包括肿块及钙化，且其主要征象与乳腺良性病变比较具有显著差异。
目的：分析乳腺癌鉬靶X線攝影徵象，併與乳腺良性病變進行鑒彆。方法選擇62例乳腺癌患者為研究對象。另選擇以腫塊為主要錶現的乳腺良性病變30例，以鈣化為主要錶現的乳腺良性病變30例進行對照。所有患者均接受乳腺鉬靶X線檢查。觀察乳腺癌病竈鉬靶X線攝影徵象，包括病變大小、形態、密度、邊緣等，重點分析腫塊及鈣化特徵。併與乳腺良性病變進行對比。結果1.乳腺癌主要徵象包括單純腫塊、單純鈣化、腫塊閤併鈣化及鈣化閤併結果扭麯等。其中錶現為腫塊最多，共52例，比例為83.9%，錶現為鈣化次之，共23例，比例為37.1%。2.在腫塊徑線方麵，乳腺癌與乳腺良性病變邊界無統計學差異(P＞0.05)。但乳腺癌形態不規則，邊緣毛刺、分葉及邊界模糊的比例顯著高于乳腺良性病變，差異具有統計學意義(P＜0.05)。3.乳腺癌病變中泥沙、短棒及針尖樣鈣化的比例顯著高于乳腺良性病變，而乳腺良性病變圓點、小片及蛋殼樣鈣化的比例顯著高于乳腺癌，差異均具有統計學意義(P＜0.05)。結論乳腺癌鉬靶X線徵象主要包括腫塊及鈣化，且其主要徵象與乳腺良性病變比較具有顯著差異。
목적：분석유선암목파X선섭영정상，병여유선량성병변진행감별。방법선택62례유선암환자위연구대상。령선택이종괴위주요표현적유선량성병변30례，이개화위주요표현적유선량성병변30례진행대조。소유환자균접수유선목파X선검사。관찰유선암병조목파X선섭영정상，포괄병변대소、형태、밀도、변연등，중점분석종괴급개화특정。병여유선량성병변진행대비。결과1.유선암주요정상포괄단순종괴、단순개화、종괴합병개화급개화합병결과뉴곡등。기중표현위종괴최다，공52례，비례위83.9%，표현위개화차지，공23례，비례위37.1%。2.재종괴경선방면，유선암여유선량성병변변계무통계학차이(P＞0.05)。단유선암형태불규칙，변연모자、분협급변계모호적비례현저고우유선량성병변，차이구유통계학의의(P＜0.05)。3.유선암병변중니사、단봉급침첨양개화적비례현저고우유선량성병변，이유선량성병변원점、소편급단각양개화적비례현저고우유선암，차이균구유통계학의의(P＜0.05)。결론유선암목파X선정상주요포괄종괴급개화，차기주요정상여유선량성병변비교구유현저차이。
Objective To analyze breast cancer mammography features, and differential diagnosis of benign breast lesions. Methods The research object was 62 cases of breast cancer patients. 30 cases benign breast lesions with mass as the main manifestation and 30 cases benign breast lesions with calcification as the main manifestation were chosen as control. All patients underwent breast mammography, the features of breast cancer mammography Including the lesion size, shape, density, edge were analyzed. Focus on the analysis of mass and calcification feature. Results 1.breast cancer signs included simple mass, pure calcification, mass with calcification and calcification combined with the distorted. Mass accounted for the most, a total of 52 cases, accounted for 83.9%;following by the calcification, a total of 23 cases, accounted for 37.1%. 2 in the tumor diameter, there was no significant difference between breast carcinoma and benign breast lesion (P>0.05). The rates of irregular shape, edge burr, leaves and fuzzy boundary of breast cancer was higher than that in benign breast lesions, the difference was statistically significant (P<0.05). the rates of Sediment, short rod and needle like calcification in breast cancer lesions was higher than that in benign breast lesions, And the rates of small dots and eggshell calcification proportion of benign breast lesions was significantly higher than that in breast cancer, The differences were statistically significant (P<0.05). Conclusion breast cancer molybdenum target X-ray signs included mass and calcification, and its main features and benign breast disease with significant difference.
