乳腺X线钙化在诊断乳腺良恶性疾病中的意义

目的探讨乳腺X线钙化在乳腺良、恶性疾病诊断中的意义。方法对2005年1月～2007年10月经手术或穿刺活检病理证实的86例乳腺X线片钙化，回顾性分析乳腺良恶性疾病的钙化特点。结果86例乳腺钙化中55例为乳腺癌，占64％；良性疾病31例，占36％。乳腺恶性钙化一般具有颗粒较细、数目较多、密度较低、分布相对较广的特点。形态多为泥沙样、叉样、短棒状、断针样、多种形状，部分钙化沿导管走行。良性乳腺钙化一般具有颗粒较租、数目较少、密度较高、分布局限的特点，形态多为沙砾样、斑片状、轨道状、圆孔状。结论乳腺X线摄影钙化在诊断乳腺良恶性疾病中具有重要作用。

Significance of X-ray Calcification in the Diagnosis of Breast Disease

Objective To study the diagnostic value of the calcified foci in mammography for the benign and malignant breast diseases, Methods From Januray 2005 to October 2007, calcified foci was found in 86 cases by mammography. The diagnosis of the breast disease was confirmed by surgery or biopsy. The characteristics of the morphology and distribution were analyzed retrospectively. Results 55 out of 86 cases with calcified foci were breast cancers,occupying 64% ,while the left cases were benign. Usually the malignant calcified foci had characteristics of smaller granulation,larger number,lower density and relativdy wide distribution. These calcified foci were mud-shaped, fork-shaped, short club-shaped, broken needle-shaped, and multipleshaped, with some of them going along the breast duct. On the other hand, the benign calcified foci had characteristics of rough granulation,less number,higher density and relatively localized distribution. And these calcified foci were sand-shaped,plague-shaped,orbit-shaped,and rotundum-shaped. Conclusion Caleified foci in mammography plays an important role in the diagnosis of breast disease.