乳腺囊内乳头状癌的钼靶X线表现

目的:探讨乳腺囊内乳头状癌(intracystic papillary carcinoma,IPC)的钼靶X线表现,以提高对该病的诊断水平。方法:回顾分析9例经手术病理证实的IPC的钼靶X线表现。结果:IPC肿块呈类圆形5例,不规则形4例;肿块边缘光滑6例,浅分叶状3例;肿块密度高于周围正常组织7例,密度等同于周围正常组织2例;病灶不伴钙化6例,伴有钙化3例,钙化呈粗细不等的颗粒状,数量少于10粒。结论:IPC肿块多呈类圆形、高密度、边缘多光滑,无成簇钙化,无明确毛刺征象,但应与乳腺纤维腺瘤、囊肿鉴别。

Molybdenum Target X-Ray Manifestations of Intracystic Papillary Carcinoma

Objective：To explore the molybdenum target X-ray manifestations of intracystic papillary carcinoma（IPC）,so as to improve diagnostic quality for the disease.Methods：The molybdenum target X-ray manifestations of 9 cases of IPC which were diagnosed by pathological examination,were analyzed retrospectively.Results：The shape of IPC masses appeared to be round in 5 cases and irregular in4 cases.The margin of masses was smooth in6 cases and shallow lobulate in3 cases.The mass density was higher than surrounding normal tissues in7 cases,while there was no difference in other 2 cases.Calcification was found in 3 cases with calcified granules in different sizes and no more than 10 in numbering,while no calcification was found in the rest 6 cases.Conclusions：IPC is observed as round,high dense,less aggregated calcified masses with smooth margin and without blurry spikes in most cases.But it should be differentiated from mammary cyst and mammary fibroadenoma.