CAJ | 학술논문

目的：探讨乳腺 X 线摄影中,乳腺恶性等密度肿块的特征性表现。方法收集经手术病理证实的121个乳腺等密度肿块,分别对肿块大小、形态、边缘、肿块周围结构改变、腋窝淋巴结改变、皮肤改变、乳头改变、可疑恶性钙化灶等观察指标与病理结果对照。运用χ2检验和 Logistic 回归分析,评价各指标对恶性等密度肿块的诊断价值。结果121个乳腺等密度肿块中,良性肿块73个、恶性肿块48个。经χ2检验单因素分析,影响肿块性质的因素有：肿块形态(χ2=14.376,P =0.002)、肿块边缘(χ2=21.555,P =0.000)、肿块周围结构紊乱扭曲(χ2=26.939,P =0.000)、腋窝淋巴结肿大(χ2=16.285,P =0.000)、皮肤增厚(χ2=4.698,P =0.030)。经多变量二分类 Logistic 回归分析,筛选进入 Logistic 回归模型的危险因素有：肿块边缘浸润(P =0.014)、肿块周围结构紊乱扭曲(P =0.003)、腋窝淋巴结肿大(P =0.026)。结论边缘浸润、周围结构紊乱扭曲、腋窝淋巴结肿大为乳腺恶性等密度肿块的特征性表现,在鉴别诊断中具有极其重要的价值。
목적：탐토유선 X 선섭영중,유선악성등밀도종괴적특정성표현。방법수집경수술병리증실적121개유선등밀도종괴,분별대종괴대소、형태、변연、종괴주위결구개변、액와림파결개변、피부개변、유두개변、가의악성개화조등관찰지표여병리결과대조。운용χ2검험화 Logistic 회귀분석,평개각지표대악성등밀도종괴적진단개치。결과121개유선등밀도종괴중,량성종괴73개、악성종괴48개。경χ2검험단인소분석,영향종괴성질적인소유：종괴형태(χ2=14.376,P =0.002)、종괴변연(χ2=21.555,P =0.000)、종괴주위결구문란뉴곡(χ2=26.939,P =0.000)、액와림파결종대(χ2=16.285,P =0.000)、피부증후(χ2=4.698,P =0.030)。경다변량이분류 Logistic 회귀분석,사선진입 Logistic 회귀모형적위험인소유：종괴변연침윤(P =0.014)、종괴주위결구문란뉴곡(P =0.003)、액와림파결종대(P =0.026)。결론변연침윤、주위결구문란뉴곡、액와림파결종대위유선악성등밀도종괴적특정성표현,재감별진단중구유겁기중요적개치。
Objective To explore the characteristic manifestations of breast malignant isodense masses using mammography. Methods 121 breast isodense masses with pathological confirmations were collected.Compared indicators with pathological findings were the tumor size,shape,edge,structure changes around the mass,axillary lymph nodes,skin changes,nipple changes,suspi-cious malignant calcification.χ2 test and Logistic regression analysis were used to evaluate the diagnostic values of each indicator.Re-sults In the 121 isodense masses,73 were benign,48 were malignant tumors.According to χ2 test analysis,factors impacted the nature of mass including:tumor morphology (χ2 =14.376,P =0.002),tumor edge (χ2 = 21.555,P =0.000),structure twisted surrounding the mass (χ2 =26.939,P =0.000),axillary lymph nodes (χ2 =1 6.285,P =0.000),skin thickening (χ2 =4.698,P =0.030).According to multivariate binary Logistic regression analysis,risk factors of the Logistic regression model included:edge infiltrating of mass (P =0.014),structure twisted surrounding the mass (P =0.003),axillary lymph nodes (P =0.026).Conclusion The characteristic manifestations of breast malignant isodense masses include edge infiltrating,structure twisted surrounding the mass,axillary lymph nodes.These manifestations are of great significance in differential diagnosis of breast isodense masses.