乳腺癌钼靶X线摄影征象及与乳腺良性病变的鉴别诊断

发布时间：2018-04-05 19:32

本文选题：乳腺癌　切入点：钼靶　出处：《中国CT和MRI杂志》2015年01期

【摘要】：目的分析乳腺癌钼靶X线摄影征象,并与乳腺良性病变进行鉴别。方法选择62例乳腺癌患者为研究对象。另选择以肿块为主要表现的乳腺良性病变30例,以钙化为主要表现的乳腺良性病变30例进行对照。所有患者均接受乳腺钼靶X线检查。观察乳腺癌病灶钼靶X线摄影征象,包括病变大小、形态、密度、边缘等,重点分析肿块及钙化特征。并与乳腺良性病变进行对比。结果 1.乳腺癌主要征象包括单纯肿块、单纯钙化、肿块合并钙化及钙化合并结果扭曲等。其中表现为肿块最多,共52例,比例为83.9%,表现为钙化次之,共23例,比例为37.1%。2.在肿块径线方面,乳腺癌与乳腺良性病变边界无统计学差异(P0.05)。但乳腺癌形态不规则,边缘毛刺、分叶及边界模糊的比例显著高于乳腺良性病变,差异具有统计学意义(P0.05)。3.乳腺癌病变中泥沙、短棒及针尖样钙化的比例显著高于乳腺良性病变,而乳腺良性病变圆点、小片及蛋壳样钙化的比例显著高于乳腺癌,差异均具有统计学意义(P0.05)。结论乳腺癌钼靶X线征象主要包括肿块及钙化,且其主要征象与乳腺良性病变比较具有显著差异。
[Abstract]:Objective to analyze the mammographic signs of breast cancer, and differential diagnosis of benign breast lesions. Methods 62 cases of breast cancer patients as the research object. The other 30 cases with masses as the main manifestations of benign breast lesions with calcification as the main manifestation of benign breast lesions in 30 cases of control group. All patients underwent mammography X-ray examination. Observation of breast cancer mammography features, including lesion size, shape, density, edge, focuses on the analysis of characteristics of mass and calcification. Compared with benign breast lesions. Results of the 1. breast cancer signs included simple tumor, pure calcification, calcification and calcification of mass with the combined results. The performance of twisted for the masses most, a total of 52 cases, the ratio was 83.9%, for the calcification of 23 cases, the ratio of 37.1%.2. in the mass line, no significant difference between breast cancer and breast benign lesion boundary (P0.05). But breast cancer with irregular shape, edge burr, fuzzy boundary and leaf was significantly higher than the proportion of breast benign lesions, the difference was statistically significant (P0.05) sediment.3. breast cancer lesions, short rod and needle like calcification were significantly higher than those of benign breast lesions and benign breast lesions and small dots, eggshell calcification a significantly higher proportion of breast cancer, the differences were statistically significant (P0.05). Conclusion the molybdenum target X-ray signs of breast cancer include mass and calcification, and the main signs and benign lesions compared with significant difference.

【作者单位】：广州市妇女儿童医疗中心放射科;
【基金】：广东省自然科学基金S20120 040007285
【分类号】：R737.9;R730.44

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