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钼靶X线征象与不同类型乳腺癌关系的病理基础研究
引用本文:王秀丽,柴丽敏,张伟,许艳梅.钼靶X线征象与不同类型乳腺癌关系的病理基础研究[J].医学影像学杂志,2011,21(8):1189-1191.
作者姓名:王秀丽  柴丽敏  张伟  许艳梅
作者单位:1. 济宁医学院附属单县中心医院放射科,山东,单县,274300
2. 济宁医学院附属单县中心医院病理科,山东,单县,274300
摘    要:目的:探讨不同类型乳腺癌的X线表现与其病理基础之间的关系。方法:经乳腺X线检查,手术、病理证实的乳腺癌36例,共36个病灶,包括浸润性导管癌26个,导管内癌及导管内癌伴微浸润7个,浸润性小叶癌2个,黏液腺癌伴浸润性导管癌1个。观察乳腺癌的X线表现,与病理分型对照。结果:①癌灶的X线表现有肿块者23个(63.9%),有钙化者18个(50%),有结构扭曲者3个(8.3%);②呈肿块表现的以浸润性导管癌为主,占87.9%;有钙化者易出现在导管内癌和浸润性导管癌中,分别占87.5%、42.3%,尤其单纯钙化多出现在导管内癌中(71.4%,5/7);结构扭曲可见于浸润性导管癌和导管内癌中,其它类型未见。结论:肿块、钙化和结构扭曲为乳腺癌的主要X线表现。浸润性导管癌占乳腺癌的大部分,除单纯钙化首先考虑导管内癌,其余征象均首先考虑浸润性导管癌;肿块改变尚要想到髓样癌和黏液腺癌的可能;结构扭曲也可出现在导管内癌中。

关 键 词:乳腺肿瘤  乳房X线摄影术  病理学

A comparative study of mammographic features of breast carcinoma and mammographic pathologic correlation
WANG Xiu-li,CHAI Li-min,ZHANG Wei,XU Yan-mei.A comparative study of mammographic features of breast carcinoma and mammographic pathologic correlation[J].Journal of Medical Imaging,2011,21(8):1189-1191.
Authors:WANG Xiu-li  CHAI Li-min  ZHANG Wei  XU Yan-mei
Institution:WANG Xiu-li1,CHAI Li-min1,ZHANG Wei1,XU Yan-mei2 1.Department of Radiology,Shanxian Central Hospital,Shandong 274300,P.R.China2.Department of Pathology,P.R.China
Abstract:Objective:To probe the mammographic features of breast carcinoma and the correlation between the mammographic and pathologic findings.Methods:A prospective study of 36 consecutive mammograms in patients with breast carcinoma,including infiltrating ducatal carcinoma(IDC,n=26),intraductal carcinoma and intraductal carcinoma associated with small invasive foci(n=7),invasive lobular carcinoma(n=2),and mucinous carcinoma associated with IDC(n=1) was performed to determine the correlations between the mammographi...
Keywords:Breast neoplasms  Mammography  Pathology  
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