未见明显肿块及钙化的乳腺癌X线表现分析

目的:总结分析无明显肿块及钙化的乳腺癌钼靶X线片特征。方法:回顾性分析26例经手术及病理证实为乳腺癌,而钼靶X线片未见明显肿块及钙化病例的X线片、病史资料、B超检查等。结果:26例病例临床均触及肿块或结节,乳腺分型25例为散在纤维腺体型(少量腺体型)和不均质型(多量腺体型),病灶与腺体无明显分界。24例为乳腺浸润性导管癌,2例为浸润性小叶癌。结论:乳腺钼靶X线片未见明显肿块及钙化,而临床触及肿块或结节的病例,应结合B超及体检仔细分析X线片,并与对侧比较,能明显提高乳腺癌的诊断准确率。

Mammographic Features of Breast Carcinoma without Distinct Mass or Calcification Expression

Objective: To study the mammographic features of breast carcinoma which showed no distinct mass or calcification. Methods: The clinical data, ultrasonographic and momographic features of 26 cases of breast carcer comfirmed by surgery and histopathology but without distinct mass or calcification by mammography were retrospectively analyzed. Results: All 26 patients were palpated to have mass or nodule. Among them, 25 were classfied small or massine mammary gland type. There was no distinct interface between disease foci and mammary glands. In histopathology 24 cases were infiltrative ductal carcinoma and were infiltrative lobular carcinoma of the breast. Conclusion: Breast carcinoma without distinct mass or calcification by mammography but with clinical palpated mass should be carefully study and compared with the other breast.