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目的:研究胸部CT体检在乳腺癌早期诊断中的应用价值。方法:选取我院收治的乳腺癌患者32例,对其临床资料进行回顾性分析,观察患者胸部CT检查资料,并与病理检查结果进行对比。结果:本组32例乳腺癌患者均为单侧乳腺,其中右侧有9例,左侧有23例;经CT检查,检查结果圆形肿块有19例,不规则形肿块有13例;有26例乳腺癌患者的肿块边缘,可以明显看见毛刺征象;有18例患者可明显看见Cooper韧带出现受累;有17例患者的病灶内可以明显看见细沙粒样钙化,或者针尖样钙化;有15例患者局部皮肤明显可见增厚,或者皮下的脂肪间隙出现受累,其中有5例患者伴有乳头凹陷;有8例患者同侧腋窝可以看见淋巴结肿大;有6例患者可见肿块内出现低密度灶,但无强化出血、坏死灶;术后对32例患者进行病理诊断,其中腺癌8例,侵润性导管癌22例,导管内原位癌2例。结论:乳腺癌的胸部CT表现有较为明显的特征性,胸部CT体检对乳腺癌的早期诊断有非常重要的应用价值。
Objective: To study the value of chest CT examination in the early diagnosis of breast cancer. Methods: 32 cases of breast cancer admitted to our hospital were selected and their clinical data were retrospectively analyzed. The CT data of the chest were observed and compared with the results of pathological examination. Results: The group of 32 breast cancer patients were all unilateral breast, including 9 cases on the right and 23 cases on the left. According to the CT examination, there were 19 cases of round lumps and 13 cases of irregular lumps. 26 cases of breast cancer patients with tumor margins, burr signs can be clearly seen; 18 patients showed obvious signs of Cooper ligament involvement; 17 patients with lesions can be seen within the fine-grained calcification or needle-like calcification; 15 5 cases of patients with nipple depression; 8 cases of patients with ipsilateral axillary lymph nodes can be seen; 6 cases were seen within the tumor with low density Thirty-two cases of adenocarcinoma were diagnosed pathologically, including 8 cases of adenocarcinoma, 22 cases of invasive ductal carcinoma and 2 cases of ductal carcinoma in situ. Conclusion: The chest CT findings of breast cancer have obvious characteristics. The chest CT examination has very important value in the early diagnosis of breast cancer.