CAJ | 학술논문

目的：探讨乳腺囊内乳头状癌（intracystic papillary carcinoma，IPC）的钼靶 X 线表现，以提高对该病的诊断水平。方法：回顾分析9例经手术病理证实的 IPC 的钼靶 X 线表现。结果：IPC 肿块呈类圆形5例，不规则形4例；肿块边缘光滑6例，浅分叶状3例；肿块密度高于周围正常组织7例，密度等同于周围正常组织2例；病灶不伴钙化6例，伴有钙化3例，钙化呈粗细不等的颗粒状，数量少于10粒。结论：IPC 肿块多呈类圆形、高密度、边缘多光滑，无成簇钙化，无明确毛刺征象，但应与乳腺纤维腺瘤、囊肿鉴别。
목적：탐토유선낭내유두상암（intracystic papillary carcinoma，IPC）적목파 X 선표현，이제고대해병적진단수평。방법：회고분석9례경수술병리증실적 IPC 적목파 X 선표현。결과：IPC 종괴정류원형5례，불규칙형4례；종괴변연광활6례，천분협상3례；종괴밀도고우주위정상조직7례，밀도등동우주위정상조직2례；병조불반개화6례，반유개화3례，개화정조세불등적과립상，수량소우10립。결론：IPC 종괴다정류원형、고밀도、변연다광활，무성족개화，무명학모자정상，단응여유선섬유선류、낭종감별。
Objective:To explore the molybdenum target X-ray manifestations of intracystic papillary carcinoma(IPC),so as to improve diagnostic quality for the disease.Methods:The molybdenum target X-ray manifestations of 9 cases of IPC which were diagnosed by pathological examination,were analyzed retrospectively.Results:The shape of IPC masses appeared to be round in 5 cases and irregular in 4 cases.The margin of masses was smooth in 6 cases and shallow lobulate in 3 cases.The mass densi-ty was higher than surrounding normal tissues in 7 cases,while there was no difference in other 2 cases.Calcification was found in 3 cases with calcified granules in different sizes and no more than 10 in numbering,while no calcification was found in the rest 6 cases.Conclusions:IPC is observed as round,high dense,less aggregated calcified masses with smooth margin and with-out blurry spikes in most cases.But it should be differentiated from mammary cyst and mammary fibroadenoma.