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乳腺Paget's病临床与X线诊断对照研究
引用本文:陈波,李瑞敏,刘军,杨文涛,顾雅佳. 乳腺Paget's病临床与X线诊断对照研究[J]. 临床放射学杂志, 2010, 29(1)
作者姓名:陈波  李瑞敏  刘军  杨文涛  顾雅佳
作者单位:上海市普陀区妇婴保健院放射科,200060;复旦大学上海医学院肿瘤学系,复旦大学附属肿瘤医院放射诊断科,200032;上海市复旦大学附属肿瘤医院病理科,200032;上海市复旦大学附属肿瘤医院放射诊断科,200032
摘    要:目的分析乳腺Paget’s病的X线表现特点,评价乳腺X线的应用价值。资料与方法回顾分析经病理证实的30例乳腺Paget’s病患者的X线片及临床、病理资料,按BI-RADS分类进行评估。结果(1)30例患者显示乳头乳晕区异常19例(63%),乳头乳晕皮肤增厚、变形或内陷7例,乳头乳晕区钙化3例,乳晕下导管增粗3例,乳晕区皮肤增厚伴乳头乳晕区钙化2例,乳晕区皮肤增厚伴乳晕下导管增粗3例,同时有乳晕区皮肤增厚、钙化及乳晕下导管增粗1例;乳头乳晕区无异常发现11例。(2)乳腺实质内显示异常26例(87%),10例为单纯乳腺实质内病变,16例为乳腺实质内病变合并乳晕区异常。(3)BI-RADS分类评估,5类16例,4类10例,3类3例,1类1例,无2类。结论重视乳头乳晕区观察对正确诊断Paget’s病至关重要,不伴有乳头乳晕区异常的单纯乳腺实质内病变也可为乳腺Paget’s病的一种表现。

关 键 词:乳腺Paget’s病  乳腺癌  乳腺X线摄影

The Comparative Study of X-ray and Clinic in Paget' s Disease of the Breast
CHEN Bo,LI Ruimin,LIU Jun,et al.. The Comparative Study of X-ray and Clinic in Paget' s Disease of the Breast[J]. Journal of Clinical Radiology, 2010, 29(1)
Authors:CHEN Bo  LI Ruimin  LIU Jun  et al.
Affiliation:CHEN Bo,LI Ruimin,LIU Jun,et al.Department of Radiology,Shanghai Putuo District Maternity Hospital,Shanghai,200060,P.R.China
Abstract:Objective To analyze the mammography features of Paget's disease of the breast,and to evaluate its clinic value. Materials and Methods The clinic data of 30 patients with histologically proved Paget's disease of the breast were analyzed retrospectively.Analysis included findings of physical examination,mammography and histologic type according to BI-RADS. Results(1)Among 30 patients,abnormal signs on nipple and areola in 19(63%),including skin thickening,nipple retraction in 7;calcifications on nipple and a...
Keywords:Paget's disease of the breast Breast Cancer Mammography  
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