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目的提高对硬化性乳腺病的钼靶X线征象的认识。方法收集15例共17处经手术病理证实的硬化性乳腺病的临床钼靶X线表现及病理改变资料并与乳腺癌进行对照分析,重点研究2种病变在临床及X线表现上的差异。结果17个病灶中,X线表现为不对称性弥漫性密度增高5个(5/17,29.4%),密度增高结节影10个(10/17,58.8%),合并钙化3个,局部结构紊乱呈星状收缩2个(2/17,11.8%)。结论硬化性乳腺病在X线上易与乳癌混淆,其诊断需结合临床病史及查体,以期减少误诊。
Objective To improve the understanding of mammography X-ray signs of sclerosing mastopathy. Methods A total of 17 cases of sclerosing breast disease confirmed by pathology were collected from 15 patients with pathologically confirmed mammograms. The clinical data and pathological changes were compared with those of breast cancer. The differences between the two lesions in clinical and X-ray findings were analyzed. Results Among the 17 lesions, X-ray showed asymmetric diffuse density increase of 5 (17 / 58.8%) with 5 (17 / 58.8%) nodules and 5 Structural disorder was constricted 2 (2/17, 11.8%). Conclusions Sclerosing breast disease is easily confused with breast cancer on the X-ray. The diagnosis should be based on clinical history and physical examination in order to reduce misdiagnosis.