乳腺钙化特点对BI-RADSⅡ-Ⅴ类乳腺疾病诊断的意义

发布时间：2019-05-17 06:25

【摘要】：目的:通过全数字化乳腺摄影检发现钙化病灶，分析钙化特点并讨论乳腺钙化的特点对乳腺X线影像报告与数据系统BIRADSⅡ-Ⅴ类诊断的价值。方法：收集84例患者例行全数字化乳腺机摄影检查发现93处钙化病灶，84例患者均为女性患者，年龄在31-76岁之间，平均年龄46.51，她们术前通过乳腺摄影检查，有2位以上的具有丰富乳腺钼靶诊断经验的医师，通过对钙化形态、分布、数目及伴随征象分析，得出X线影像报告与数据系统（BIRADS）分类报告系统分类结果。所有患者通过手术或穿刺等方法均获得获得病理诊断：其中良性病变70例，恶性病变22例，1例为交界性叶状肿瘤，，通过分析钙化的形态、分布及伴随征象在不同BIRADS分类中的表现以及良恶性比例，探讨乳腺钙化对BI-RADS分类诊断的价值。结果:93处钙化灶良恶性组年龄均数存在统计学差异，良性组70例年龄均数是45.43岁，恶性组22例年龄均数是49.95，1例交界性叶状肿瘤患者年龄54岁。BIRADSⅡ类20例，良性19例、恶性1例；Ⅲ类26例，良性22例、恶性4例；Ⅳ类37例，良性26例、11例；Ⅴ类10例，良性3例、恶性6例及1例交界性肿瘤。钙化分布象限差异存在统计学意义。多形性、不均质形（颗粒状）钙化与其他类型钙化在不同分类中存在统计学差异，不同钙化分布在不同分类中存在差异。不同分级中单位面积中钙化数目存在统计学差异。结论:通过乳腺的全数字化摄影检查发现乳腺钙化灶，分析钙化的形态特征、分布情况、单位面积数目及伴随征象对BI-RADS分类诊断的价值。
[Abstract]:Objective: to find calcification lesions by full digital mammography, analyze the characteristics of calcification and discuss the value of calcification in mammography reporting and data system BIRADS class II-V diagnosis. Methods: 93 calcification lesions were detected by digital mammography in 84 patients. 84 patients were female, aged between 31 and 76 years old, with an average age of 46.51. They passed mammography before operation. There are more than two doctors with rich experience in breast mammography diagnosis. Through the analysis of calcification morphology, distribution, number and accompanying signs, the classification results of X-ray image report and data system (BIRADS) classification report system are obtained. All patients were diagnosed pathologically by operation or puncture, including 70 cases of benign lesions, 22 cases of malignant lesions and 1 case of borderline lobular tumor. the morphology of calcification was analyzed. The distribution and accompanying signs in different BIRADS classification and the proportion of benign and malignant, to explore the value of breast calcification in the diagnosis of BI-RADS classification. Results: the age average of benign and malignant calcification was 45.43 years old in benign group, 49.95 years in malignant group and 54 years old in 1 patient with borderline lobular tumor. 19 cases were benign and 1 case was malignant. There were 26 cases of type III, 22 cases of benign, 4 cases of malignant, 37 cases of type IV, 26 cases of benign, 11 cases of benign, 10 cases of class V, 3 cases of benign, 6 cases of malignant and 1 case of borderline tumor. There was significant difference in calcification distribution quadrant. Pleomorphism, heterogeneous calcification and other types of calcification were statistically different in different categories, and the distribution of calcification was different in different categories. There were significant differences in the number of calcification per unit area in different grades. Conclusion: the calcification of breast was found by full digital mammography, and the morphological characteristics, distribution, number per unit area and accompanying signs of calcification were analyzed for the classification and diagnosis of BI-RADS.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R816.4;R737.9

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