炎性乳腺癌的临床及X线分析

目的:探讨炎性乳腺癌的X线征象及其病理基础,以提高对该病的诊断水平。材料与方法:结合临床及病理资料系统分析15例经手术病理证实的炎性乳腺癌的临床表现及X线特点。结果:乳腺皮肤出现红、肿、热、疼、压痛等炎性症状13例;乳腺弥漫性或局限性皮肤硬化、变厚14例;乳头凹陷7例。乳腺X线检查阳性发现率为66·7%,主要X线表现;片内见肿块影5例;乳腺密度增高、结构紊乱9例;伴有钙化4例;皮下脂肪层混浊、呈索条状或细网状致密影11例;腋下淋巴结肿大12例;3例误诊为乳腺炎,1例误诊为浆细胞性乳腺炎,1例为不典型患者误诊为乳腺瘤样增生。结论:认识和掌握炎性乳腺癌的临床及X线特点,对该病的早期诊断意义重大。

Clinical and Radiological Analysis of Inflammatory Breast Cancer

Purpose:To explore the X-ray characteristic findings of the inflammatory breast cancer to improve the radiologic diagnostic rate.Materials and Methods:The clinical and X-ray findings in 15 patients confirmed by operations and the pathology were presented and analyzed retrospectively.Results:Among the 15 patients with inflammatory breast cancer:9 cases showed erythroswelling,fever,pain and tenderness of mammary skin.14 cases showed thickened areolas locally or diffusely.7 cases showed retracted nipple.X-ray exams showed the positive rate is 66.7%.The main characteristics:5 cases showed mass in the photographs.13 cases showed the increase in density and disorder of the construction widely in the breasts.4 cases showed calcification.11 cases showed the subcutaneous adipose layer opacity presenting as strip or reticular dense shadow.12 showed armpit lymphadenovarix.3 cases were diagnosed by misktake as mastitis.1 case was diagnosed by mistake as plasma cell mastitis.1 atypical case was diagnosed by mistake as mammary tumor-like hyperplasia.Conclusion:It is valuable for early diagnosis of inflammatory breast cancer to recognize the specific clinical and X-ray characteristic findings.