乳腺常见疾病的钼靶X线诊断

目的通过分析337例乳腺病变的钼靶X线征象,总结出各种病变的特征性表现,以提高乳腺疾病的钼靶X线诊断水平。方法337例均进行钼靶照片。乳腺导管内乳头状瘤患者除照乳腺平片外,尚进行溢乳导管造影。所有病例均经手术或穿刺病理证实。结果良性病变中以乳腺增生症、纤维腺瘤、乳腺囊肿、乳腺导管内乳头状瘤和炎症多见,良性肿块边缘光滑、锐利、密度均匀,钙化较粗大,肿块直径X线测量值等于临床测量值。乳腺癌主要表现为肿块,边缘不光整,有分叶和毛刺,钙化细小、成簇、泥沙样,肿块直径X线测量值<临床测量值。结论乳腺钼靶X线照片对乳腺病变的发现及良、恶性病变的鉴别诊断有很大价值。

Diagnosis of breast disorders using molybdenum targets roentgenography

Objective The mammographic findings of various breast di so rders were investigated. And the characteristic manifestations were concluded. M ethods In total 337 patients with breast disorders were evaluated by mammography and confirmed by pathology. An additional galactography was performed in intra-ductal papilloma cases. Results Mammiplasia , fibroadenosis , mammocystis , intraductal papilloma and mammitis were frequently seen in benign diseases of breast .The mammographic findings of breast benign lesions included well-defi nded margin, homogenous in density, and large calcification; the size of lesion revealed on X-ray equaled to that anticipated by clinical physicians. Breast c ancer was characterized with poor-defined margin, lobulated, speculated, and fine cluster calcification; the size of the tumor shown on X-ray was less than that palpated in clinical examination. Other important evidences included thick ened skin and sunken nipple. Conclusion Mammography is valuable in evaluating br east disease and in differential diagnosis.