CAJ | 학술논문

目的：探讨乳腺癌钙化在数字化全景乳腺摄影中的特征，以提高乳腺癌的诊断水平。方法回顾性分析2012年8月～2014年9月于我院经手术病理证实的46例乳腺导管癌患者的临床资料及乳腺全景X线摄影资料。结果病理结果证实，46例乳腺导管癌患者中，8例为钙化性导管癌；38例为浸润性导管癌，其中一级浸润性导管癌12例，二级浸润性导管癌15例，三级浸润性导管癌11例。乳腺全景X线摄影显示，46例患者的乳腺均具有散在分布的微小钙化。将全景X线摄影征象（钙化形态、钙化总数、单位面积钙化数，合并肿块、腋窝淋巴结肿大、淋巴结转移情况）与病理结果进行对比，结果发现，不同病理分级间单位面积钙化数和淋巴结转移情况有显著差异（P<0.05），其他指标均无显著差异。结论全景数字化乳腺X线摄影可显示乳腺癌的微小钙化，为乳腺癌的早期诊断提供依据。
목적：탐토유선암개화재수자화전경유선섭영중적특정，이제고유선암적진단수평。방법회고성분석2012년8월～2014년9월우아원경수술병리증실적46례유선도관암환자적림상자료급유선전경X선섭영자료。결과병리결과증실，46례유선도관암환자중，8례위개화성도관암；38례위침윤성도관암，기중일급침윤성도관암12례，이급침윤성도관암15례，삼급침윤성도관암11례。유선전경X선섭영현시，46례환자적유선균구유산재분포적미소개화。장전경X선섭영정상（개화형태、개화총수、단위면적개화수，합병종괴、액와림파결종대、림파결전이정황）여병리결과진행대비，결과발현，불동병리분급간단위면적개화수화림파결전이정황유현저차이（P<0.05），기타지표균무현저차이。결론전경수자화유선X선섭영가현시유선암적미소개화，위유선암적조기진단제공의거。
Objective To investigate the characteristic of breast carcinoma calciifcation in full-ifeld digital mammography so as to promote diagnosis of breast carcinomas. Methods Retrospective analysis of clinical materials and full-ifeld digital mammographs was made on 46 breast ductal carcinoma patients who have been conifrmed by surgical pathology in the hospital from August 2012 to September 2014. Results According to the pathological results, there were 8 cases of ductal carcinoma in situ and 38 cases of inifltrating ductal carcinomas (8 cases in stage I;15 in Stage II;11 in Stage III) among 46 breast ductal carcinoma patients. The full-ifeld digital mammographs revealed scattered microcalciifcation in all the 46 patients. Through comparison of the abnormalities in mammographs and the pathological results, it can be found that the calciifcation per unit area and lymph node transfer were statistically signiifcant differente (P<0.05) in different pathological stages; other indicators had no statistically significant difference. Conclusion The full-ifeld digital mammography can make microcalciifcation revealed and provide a basis for the early diagnosis of breast carcinomas.