高频X线摄影对乳腺肿块的临床诊断价值

目的 :评价高频X线摄影对乳腺良、恶性肿块的诊断价值。方法 :2 15例 (2 80个病灶 )患者均行乳腺高频X线照片 ,常规摄取双侧对照轴、斜位 ,部分加摄侧位及局部放大相。有乳头溢液者 ,加作患侧乳导管造影。本组病例均经手术病理或穿刺活检证实。结果 :肿瘤性病变 92例 ,其中纤维腺瘤 4 9例 ,纤维腺瘤合并囊肿 2例 ,错构瘤 2例 ,浸润性导管癌 35例 ,浸润小叶癌 2例 ,黏液腺癌 1例 ,多中心乳腺癌 1例。非肿瘤性病变 12 3例 ,其中乳腺炎性肿块 2 0例 ,腺小叶增生 2 3例 ,囊性增生 2 1例 ,囊肿 5 9例 (单纯乳腺囊肿 5 7例 ,积乳囊肿 2例 )。结论 :高频X线摄影对显示病变区微小钙化有明显优越性 ,而钙化灶的不同形态表现 ,对鉴别良、恶性乳腺肿块有重要意义。但对乳腺肿块中的实性和囊性病变不能明确诊断 ,需借助细针穿刺细胞学检查确诊 ;对致密型乳腺内病变的诊断尚有一定的难度。

Clinic Dignostic Value of The X-ray Photo of High Frequency in Breast Lumps

Objective To evaluate the diagnostic value of the X-ray photo of high frequency in breast lumps. Methods The X-ray photo of high frequency of 215 cases( 280 focuses) were taken, using the double contrast axial and oblique locations routinely and adding taking lateral location and partly enlarged photograph. The cases who overflows liquid of nipple, should also take the pipe radiography of the suffering mammary gland. The thin needle of focus is punctured alive and examined. Results Of 215 cases with surgical pathology or puncture biopsy proved, 92 cases of tumorous lesions were showed, including fibroadenoma(n=49), fibroadenoma combined with cyst(n=2), hemangioleiomyolipoma(n=2), invaded tracheal carcinoma(n=35), invaded lobule carcinoma(n=2), mucoid adenoma(n=1), polycentric mammary carcinoma(n=1). 123 cases of nontumorous lesions, including inflammatory mass of mammary gland(n=20), mammary lobule hyperplasia(n=23), cystoid hyperplasia(n=21), cyst(n=59). Conclusion The X-ray photo of high frequency takes advantage of displaying tiny calcify in the lesion, and the different shape of calcify have the signification in differentiating the benign or malignance disease of mammary gland. But it can not definitely diagnose the substantial and cystoid lesion of the breast lumps, except for thin needle punctured cytological examination. It is also difficult in diagnosing the compact type mammary gland diseases.