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乳腺Paget病的X线表现
引用本文:蔡丰 严洪珍. 乳腺Paget病的X线表现[J]. 中华放射学杂志, 1996, 30(5): 337-339
作者姓名:蔡丰 严洪珍
作者单位:北京协和医院放射科 外科,解放军总参管理局乳腺外科中心
摘    要:
目的:探讨乳腺Paget病的X线表现及其临床意义。材料和方法:结合临床及病理资料系统分析8例经手术证实的乳腺Paget病的X线平片。结果:乳腺X线检查阳性发现率为87.5%。主要X线表现为:乳房内肿块4例,其中2例伴有乳头凹陷。乳房内成簇成片钙化3例,其中1例伴有乳头乳晕皮肤增厚,均无腋下淋巴结转移。结论:虽然乳腺Paget病的X线表现无明显特异性,但X线检查是乳头湿疹样改变的绝对指征。放射科医生能够认识和掌握Paget病的临床特征,对该病的早期诊断意义重大。

关 键 词:乳腺肿瘤  乳腺派杰病  乳房X线摄影术

MammographicappearancesinPagetdiseaseofthebreast
CaiFeng,YanHongzhen,LuXiurong,et al.. MammographicappearancesinPagetdiseaseofthebreast[J]. Chinese Journal of Radiology, 1996, 30(5): 337-339
Authors:CaiFeng  YanHongzhen  LuXiurong  et al.
Affiliation:CaiFeng,YanHongzhen,LuXiurong,etal.DepartmentofRadiology,PekingUnionMedicalColegeHospital,Beijing100730
Abstract:
Porpose:TodescribethemammographicappearancesinPagetdiseaseofthebreastanddiscussthesignificationofmammography.Materialsandmethods:Theclinical,mammographicandpathologicrecordsof8patientswithprovenPagetdiseasewereretrospectivelyreviewedandana-lysed.Results:Among8patientswithPagetdisease,themammogramsofsevenshowedabnormalfindings.4casesshowedpresenceofmasswithnippleretractionin2.In3cases,calcificationwasdemonstratedwiththickeningofskinofthenippleandareolain1.Nolymphadenopathyorcontralat-eraltumorwasfound.Conclusion:AlthoughnospecificradiologicsignswerefoundinPagetdiseaseofthebreast,aneczematousappearanceofthenippleisafirmindicationformammography.Radiolo-gistsshouldbetrainedtorecognizetheclinicalfeaturesofPagetdiseaseofthebreast.
Keywords:BreastneoplasmsPagetdiseaseofbreastMammography  
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