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目的:总结乳腺癌的 X 线诊断,探讨其与临床症状的关系,确定乳腺最佳检查方法。材料与方法:手术病理证实的乳腺癌35例,临床体征仅为乳房肿块32例、肿块伴乳头血性溢液1例、乳头血性溢液2例。每一乳房都采用轴位和斜位摄影,部分病例加拍局部放大摄影或乳腺导管造影片。结果:根据乳腺癌的 X 线特点将其分为5种类型:肿块型24例(68.6%)、结构紊乱型6例(17.1%)、致密型2例(5.7%)、钙化型2例(5.7%)、导管阻塞型1例(2.9%)。结论:X 线钼靶乳腺摄影对本病诊断很有价值;良好的投照方法和必要的随访复查有助于该病的诊断和鉴别诊断。
Objective: To summarize the X-ray diagnosis of breast cancer, explore its relationship with clinical symptoms, and determine the best screening method for breast cancer. Materials and Methods: 35 cases of breast cancer were confirmed by pathology. The clinical signs were only 32 cases of breast lumps, 1 case of papillary bloody lumps, and 2 cases of papillary bloody discharge. Axial and oblique photography was used for each breast. In some cases, local magnification photography or mammography was performed. Results: According to the X-ray characteristics of breast cancer, it was divided into five types: 24 cases (68.6%), 16 cases (17.1%) with structural disorder, 2 cases (5.7%) with dense structure, and 2 cases with calcification (2 cases). 5.7%), catheter obstruction in 1 case (2.9%). Conclusion: X-ray mammography mammography is very valuable in the diagnosis of the disease; good projection methods and necessary follow-up review help the diagnosis and differential diagnosis of the disease.