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目的探讨钼靶X线检查对乳腺导管内癌(DCIS)的诊断价值。方法回顾性分析了经病理证实的107例乳腺导管内癌的X线征象,并与病理结果进行对照。结果钼靶摄影显示钙化62例(57.9%),其中伴有肿物或局限致密的13例;局限致密浸润17例(15.9%);肿物20例(18.7%);乳头增大1例(0.9%);未见异常7例(6.5%)。结论多发细小多形性钙化为导管内癌最常见X线表现形式;乳腺摄影能早期发现临床触及不到的微小癌及早期癌,其中主要是导管内癌,还能准确反映乳腺内有否多原灶,有利于帮助临床确定手术范围及手术方式。
Objective To investigate the diagnostic value of mammography in the diagnosis of ductal carcinoma of the breast (DCIS). Methods A retrospective analysis of pathologically confirmed 107 cases of ductal carcinoma of the breast X-ray signs and pathological findings were compared. Results Molybography showed calcification in 62 cases (57.9%) with tumor or confined 13 cases, localized tight infiltration in 17 cases (15.9%), tumor in 20 cases (18.7%), and nipple enlargement in 1 case (57.9% 0.9%); no abnormalities in 7 cases (6.5%). Conclusions Multiple pleomorphic calcification is the most common X-ray manifestation of intraductal carcinoma. Early mammography can detect tiny cancers and early cancers that are not clinically detectable. The most common one is intraductal carcinoma, which can accurately reflect the presence or absence of multiple The original stove, help to determine the clinical scope of surgery and surgical methods.