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目的 明确乳腺良恶性病变影像学表现。方法 对 47例有X线钼靶和CT资料并为病理证实的乳腺疾病患者资料进行分析 ,恶性组 2 0例 ,平均年龄 50 .0岁 ;良性组 2 7例 ,平均年龄 40 .6岁。CT扫描使用东芝Xprees/GX螺旋CT机 ,扫描范围从腋窝至乳房下界。其中 2 6例行增强扫描 ,均俯卧位螺旋扫描 ,上胸、腹部垫高 ,使乳房自然下垂 ,双前臂交叉放在头上。结果 恶性组毛刺肿物 14例 ,分叶肿物 10例 ,钙化肿物 5例 ,透亮环肿物 4例 ,囊壁肿物 1例 ,胸肌粘连 9例 ,皮肤增厚 8例 ,乳头内陷 4例 ,大导管牵拉征 7例 ,Cooper韧带增粗 5例 ,淋巴结肿大 8例 ;强化后CT值升高 >40HU。良性组 :圆形及卵圆形肿物 10例 ,分叶肿物6例 ,斑片及条索样肿物 5例 ,透明晕肿物 4例 ,囊壁肿物 2例 ,钙化肿物 1例 ,毛刺肿物 1例 ,导管牵拉征 4例 ,皮肤增厚 4例 ,Coop er韧带增粗 2例 ,脂肪间隙变形 1例 ,乳头内陷 4例。结论 CT是诊断乳腺疾病的良好方法
Objective To clarify the imaging findings of benign and malignant breast lesions. Methods The data of 47 patients with X-ray mammography and CT data and pathologically confirmed breast disease were analyzed. Twenty cases of malignant group were treated with mean age 50.0 years and 27 cases were benign group with the mean age of 40.6 years. CT scan using the Toshiba Xprees / GX spiral CT scan range from the axilla to the lower breast. Of which 26 cases of enhanced scanning, both prone spiral scan, upper chest, abdomen padding, so that the natural sagging breasts, arms crossed on his head. Results Malignant group of burr tumor in 14 cases, lobulated tumor in 10 cases, calcified tumor in 5 cases, translucent ring tumor in 4 cases, cyst wall tumor in 1 case, chest muscle adhesion in 9 cases, skin thickening in 8 cases, nipple retraction 4 cases, 7 cases of large catheter traction, Cooper ligament thickening in 5 cases, 8 cases of lymphadenopathy; enhanced CT value> 40HU. Benign group: round and oval tumor in 10 cases, lobulated tumor in 6 cases, plaque and cord-like mass in 5 cases, 4 cases of clear-bloated tumor, 2 cases of cystic tumor, calcified mass 1 For example, 1 case of burr and tumor, 4 cases of catheter traction, 4 cases of skin thickening, 2 cases of Coop er ligament thickening, 1 case of fat gap deformation and 4 cases of nipple retraction. Conclusion CT is a good method to diagnose breast diseases