老年女性乳腺癌X线摄影征象与临床病理分析

发布时间：2018-06-12 13:45

  本文选题：乳腺肿瘤 + 乳腺X线摄影　； 参考：《中国老年学杂志》2017年16期

【摘要】：目的探讨老年女性乳腺癌的X线摄影征象及其与临床病理的关系。方法收集经病理证实并行乳腺X线摄影检查的乳腺癌患者118例,分为老年组(≥60岁,58例)和中青年组(60岁,60例)。比较不同年龄组的乳腺癌X线摄影征象及其临床病理特征。结果老年组雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2(C-er B-2)表达阳性率分别为:63.8%、53.4%、46.6%,中青年组分别为:65%、60%、60%,两组比较差异无统计学意义(χ~2值分别为0.019、0.516、2.143,均P0.05)。老年组与中青年组在X线摄影肿瘤主要征象构成比上存在统计学差异(χ~2=11.551,P0.05),在肿块最大径,形态、边缘,钙化形态、分布及相关征象整体上差异无统计学意义(均P0.05)。老年女性乳腺癌与中青年女性乳腺癌比较,X线摄影肿瘤主要征象表现肿块伴钙化、肿块呈分叶状、钙化呈成簇分布方面差异显著(均P0.05)。结论老年女性乳腺癌X线摄影表现多样,以分叶状肿块伴成簇分布钙化最常见;其X线摄影表现与临床病理有一定相关性。
[Abstract]:Objective to explore the relationship between X-ray photography and clinical pathology of breast cancer in elderly women. Methods 118 cases of breast cancer were collected by pathology confirmed mammography and divided into elderly group (60 years old, 58 cases) and young and middle-aged group (60 years old, 60 cases). The X ray and clinicopathological features of breast cancer in different age groups were compared. Results the positive rates of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (C-er B-2) were 63.8%, 53.4%, 46.6% respectively in the elderly group: 65%, 60%, 60%, and two, respectively (0.019,0.516,2.143, P0.05). There was no statistical difference in the composition ratio (x ~2=11.551, P0.05). There was no significant difference in the maximum diameter, shape, edge, calcification, distribution and related signs of the mass (all P0.05). The main signs of mammography in the elderly women were compared with the young and middle-aged women's breast cancer, and the main signs of X-ray photography were calcification, and the lumps were lobulated. There were significant differences in the cluster distribution of calcification (all P0.05). Conclusion the X-ray photography of elderly women with breast cancer is diverse and the most common with lobular mass with cluster distribution calcification is the most common, and its X-ray photography is related to Clinicopathology.
【作者单位】： 重庆市肿瘤研究所放射科;
【分类号】：R730.44;R737.9
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本文编号：2009869