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目的探讨多层螺旋CT在乳腺癌诊断中的应用价值。方法回顾性分析经临床病理证实的29例乳腺癌平扫、增强以及重建图像。结果29例乳腺癌均为肿块型,22例表现为不规则形,9例边缘见毛刺,4例有皮肤改变,2例见乳头内陷,周围侵犯5例,16例见腋窝淋巴结,纵隔淋巴结及肺内转移3例,增强后肿块强化明显,CT值升高(49.85±32.65)HU;并行重建使肿块、周边结构呈立体显示。结论多层螺旋CT检查在乳腺癌定性诊断中有一定的应用价值。
Objective To investigate the value of multi-slice spiral CT in the diagnosis of breast cancer. Methods Retrospective analysis of 29 cases of breast cancer confirmed by clinicopathological findings of plain, enhanced and reconstructed images. Results All the 29 cases of breast cancer were mass-type, 22 cases showed irregular shape, 9 cases showed burr at the edge, 4 cases had skin changes, 2 cases had papillae invagination, 5 cases had peripheral invasion, 16 cases had axillary lymph nodes and mediastinal lymph nodes And lung metastasis in 3 cases. After the enhancement, the mass of the tumor was obviously enhanced and the CT value was increased (49.85 ± 32.65) HU. The mass reconstruction of the tumor and its peripheral structures was stereoscopically displayed. Conclusion Multi-slice spiral CT has certain value in the qualitative diagnosis of breast cancer.