早期乳腺癌的数字钼靶表现及病理基础对照

目的探讨早期乳腺癌的数字钼靶X线表现及其形成的病理基础。方法搜集32例经病理证实的早期乳腺癌患者的数字钼靶片进行回顾性分析并与病理结果对照,其中临床触及肿块的15例,未触及肿块的17例。所有病例均使用芬兰planmedCR钼靶乳腺机,常规拍摄双侧乳腺轴位及侧斜位摄片。必要时加照侧位及局部点片。结果 32例早期乳腺癌中,表现出钙化的共14例,结节或肿块影共19例,结构紊乱3例,星芒状结构3例;其中浸润性导管癌15例,导管原位癌3例,癌前病变3例,浸润性小叶癌2例,粘液癌伴浸润性导管癌2例,导管原位癌伴微浸润7例。结论数字钼靶摄影可以较清晰显示早期乳腺癌的直接及间接征象,对早期乳腺癌的诊断具有重要价值。

Early Breast Cancer Digital Mammography and Pathologic Basis of Comparison

Objective Discussion of early breast cancer digital mammography and formation of pathology.Methods The digital mammography films of 32 cases of early breast cancer patients confirmed by patholgical were retrospectively analyzed with their pathologic findings,where the clinic for 15 cases,non-17 cases.Finnish planmedCR mammographic machine was used,general shooting bilateral mammary axial and lateral oblique radiography.If necessary,and according to the lateral and partial points.Results In 32 cases of early breast cancer,showing a total of 14 cases of calcification,nodular or mass shadow of 19 cases,architecture of 3 cases,star mountain-like structure of 3 cases;where invasive ductal carcinoma of 15 cases of,ductal carcinoma in situ of 3 cases,precancerous lesions of 3 cases,invasive lobular carcinoma of 2 cases,mucinous carcinoma with invasive ductal carcinoma in 2 cases,ductal carcinoma in situ of 7 patients with micro-invasion.Conclusion Digital mammography can clearly show early breast cancer：the direct and indirect signs,On early-stage breast cancer diagnosis is of great value.