CAJ | 학술논문

目的：评价分析乳腺X线可疑恶性钙化在诊断乳腺癌，尤其是导管原位癌中的临床价值，为今后的工作提供参考依据，更好地服务临床。方法：回顾性分析61例乳腺X线检查显示有可疑恶性钙化灶患者的临床资料，所有患者均行术前导丝定位，手术切除定位钙化后进行组织病理学检查，对手术病理诊断为乳腺癌患者的X线钙化特点进行描述和总结。结果：61例患者均成功切除含钙化病变组织，病理结果为导管原位癌13例，浸润性乳腺癌伴原位癌2例，浸润性乳腺癌1例，余良性病变45例。61例患者钙化中，包括点状及圆点状钙化8例，精盐型钙化36例，模糊或不定型钙化11例，线样钙化6例。结论：乳腺X线导丝定位活检对诊断钙化作为唯一阳性征象的导管原位癌敏感性高，是一种安全有效的检查诊断方法，可提高对乳腺原位癌的诊断率。
목적：평개분석유선X선가의악성개화재진단유선암，우기시도관원위암중적림상개치，위금후적공작제공삼고의거，경호지복무림상。방법：회고성분석61례유선X선검사현시유가의악성개화조환자적림상자료，소유환자균행술전도사정위，수술절제정위개화후진행조직병이학검사，대수술병리진단위유선암환자적X선개화특점진행묘술화총결。결과：61례환자균성공절제함개화병변조직，병리결과위도관원위암13례，침윤성유선암반원위암2례，침윤성유선암1례，여량성병변45례。61례환자개화중，포괄점상급원점상개화8례，정염형개화36례，모호혹불정형개화11례，선양개화6례。결론：유선X선도사정위활검대진단개화작위유일양성정상적도관원위암민감성고，시일충안전유효적검사진단방법，가제고대유선원위암적진단솔。
Objective:The value of breast mammography suspicious malignant calcification in diagnosis of breast cancer,especially ductal carcinoma in situ was analyzed,aiming to provide evidence for clinical practice.Method:The clinical and mammography imaging data of 61 patients with suspicious malignant calcification were retrospectively analyzed.All 61 patients underwent preoperative guide wire position,and pathological diagnosis of excised calcification.The characteristics of calcification of breast cancer patients were described and analyzed.Result:All calcification in 61 patients were successfully removed,13 patients with ductal carcinoma in situ,2 patients with invasive breast cancer,1 patient with invasive breast cancer in pathological diagnosis,the remaining 45 patients were benign breast lesion.All 61 patients included 8 cases of dot and dot-like calcification,36 cases of salt-type calcification,11 cases of blurred or stereotypes calcification,6 cases of line calcification.Conclusion:Preoperative guide wire position by mammography is sensitive for diagnosis of ductal carcinoma in situ with safety.