中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
1082-1084
,共3页
钼靶微钙化%乳头溢液%乳腺癌%诊断
鉬靶微鈣化%乳頭溢液%乳腺癌%診斷
목파미개화%유두일액%유선암%진단
mammographic microcalcification%nipple discharge%breast cancer%diagnosis
目的：探讨乳腺钼靶X线微钙化灶在乳头溢液症状乳腺癌诊断中的临床意义。方法选择临床症状仅表现为乳头溢液的102例患者的临床资料进行回顾性分析。分析钼靶微钙化在临床症状仅表现为乳头溢液的乳腺癌诊断中的作用。结果102例患者中病理诊断为恶性病变者32例，占31．4％；病理诊断为良性病变70例，占68．6％。良性微钙化8例，发生率为11．4％（8／70）；恶性微钙化20例，发生率为62．5％（20／32）；对在良、恶性病变中微钙化病例数进行比较，乳腺微钙化是乳头溢液患者与乳腺癌相关的高危因素（χ2＝28．761，P＜0．01）；溢液性状、导管内病变位置及微钙化与病理结果对比发现，钼靶微钙化多见于乳头溢液为血性的患者，良性微钙化多位于Ⅰ级乳管，恶性微钙化多位于Ⅱ～Ⅲ级乳管。结论钼靶微钙化在仅表现为乳头溢液的乳腺癌诊断中具有重要的临床意义。
目的：探討乳腺鉬靶X線微鈣化竈在乳頭溢液癥狀乳腺癌診斷中的臨床意義。方法選擇臨床癥狀僅錶現為乳頭溢液的102例患者的臨床資料進行迴顧性分析。分析鉬靶微鈣化在臨床癥狀僅錶現為乳頭溢液的乳腺癌診斷中的作用。結果102例患者中病理診斷為噁性病變者32例，佔31．4％；病理診斷為良性病變70例，佔68．6％。良性微鈣化8例，髮生率為11．4％（8／70）；噁性微鈣化20例，髮生率為62．5％（20／32）；對在良、噁性病變中微鈣化病例數進行比較，乳腺微鈣化是乳頭溢液患者與乳腺癌相關的高危因素（χ2＝28．761，P＜0．01）；溢液性狀、導管內病變位置及微鈣化與病理結果對比髮現，鉬靶微鈣化多見于乳頭溢液為血性的患者，良性微鈣化多位于Ⅰ級乳管，噁性微鈣化多位于Ⅱ～Ⅲ級乳管。結論鉬靶微鈣化在僅錶現為乳頭溢液的乳腺癌診斷中具有重要的臨床意義。
목적：탐토유선목파X선미개화조재유두일액증상유선암진단중적림상의의。방법선택림상증상부표현위유두일액적102례환자적림상자료진행회고성분석。분석목파미개화재림상증상부표현위유두일액적유선암진단중적작용。결과102례환자중병리진단위악성병변자32례，점31．4％；병리진단위량성병변70례，점68．6％。량성미개화8례，발생솔위11．4％（8／70）；악성미개화20례，발생솔위62．5％（20／32）；대재량、악성병변중미개화병례수진행비교，유선미개화시유두일액환자여유선암상관적고위인소（χ2＝28．761，P＜0．01）；일액성상、도관내병변위치급미개화여병리결과대비발현，목파미개화다견우유두일액위혈성적환자，량성미개화다위우Ⅰ급유관，악성미개화다위우Ⅱ～Ⅲ급유관。결론목파미개화재부표현위유두일액적유선암진단중구유중요적림상의의。
Objective To discuss the clinical significance of mammographic microcalcifications in diagnosis of breast disease with nipple discharge.Methods Respective analysis was conducted on the clinical data of 102 cases with only nipple discharge to analyze the application of mammographic microcalcifications in diagnosis of breast disease with nipple discharge.Results Of 102 cases, pathological diagnosis showed 32 cases (31.4%) with malignant disease and 70 cases (68.6%) with benign disease.There were 8 cases with benign microcalcification, and the incidence was 11.4% (8/70).There were 20 cases of malignant microcalcification with the incidence of 62.5% ( 20/32 ). Comparison of cases with microcalcification in benign and malignant disease showed that mammographic microcalcification was the high risk factor of breast cancer and patients with nipple discharge (χ2 =28.761, P<0.05).Mammographic microcalcification was commonly found in patients with nipple discharge of blood, benign microcalcification in level I duct system and malignant microcalcification in level Ⅱ -Ⅲ duct system by comparing discharge characteristics, lesion site in duct system and microcalcification with pathological findings.Conclusion Mammographic microcalcification shows important clinical significance in clinical diagnosis of breast cancer with nipple discharge.
