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目的:分析乳腺病变CT表现与特征,探讨胸部CT扫描评价乳腺疾病的应用价值。方法:收集本院2012-01~2014-06胸部CT检查乳腺占位性病变患者143例。经手术或穿刺活检证实乳腺癌97例,良性病变43例,共计140例。其中,经胸部CT首先发现乳腺病变者124例:乳腺癌88例,乳腺导管内乳头状瘤2例,乳腺对应胸壁结核4例,脂肪瘤2例,纤维腺瘤11例,乳腺增生17例。回顾分析病例CT表现特点,寻找胸部CT诊断乳腺疾病影像特点与规律。结果:胸部CT扫描能精准反映乳腺肿块病变细节,判断乳腺腺体局限性致密增厚时是否存在病变,有无钙化及特征钙化、淋巴结肿大、乳腺皮肤增厚、乳后间隙模糊等间接病理变化,从而对疾病性质做出判断。结论:胸部CT检查不仅能观察到乳腺病变细节特征,同时能发现远处淋巴结转移,并直观观察乳后间隙、乳腺局部皮肤改变等间接征象,了解纵隔及肺有无异常病变,对鉴别良恶性病变,起着决定性作用。胸部CT检查的这种全面性,是其他检查手段所不具备的。
Objective: To analyze the CT features and features of breast lesions and to discuss the value of chest CT scan in the evaluation of breast diseases. Methods: A total of 143 breast-space-occupying lesions in our hospital from 2012-01 to 2014-06 were collected. Surgical or biopsy confirmed 97 cases of breast cancer, benign lesions in 43 cases, a total of 140 cases. Among them, 124 cases of breast lesions were first found by CT: 88 cases of breast cancer, 2 cases of intraductal papilloma in breast, 4 cases of chest wall tuberculosis in breast, 2 cases of lipoma, 11 cases of fibroadenoma and 17 cases of mammary gland hyperplasia. Retrospective analysis of CT features of cases, looking for chest CT diagnosis of breast disease characteristics and laws of the image. Results: Chest CT scan can accurately reflect the details of breast lesions, to determine whether there are lesions of dense glandular thickening of the breast gland, with or without calcification and calcification, lymph nodes, thickening of breast skin, milk and other indirect pathological blurring Change, so as to judge the nature of the disease. Conclusion: Chest CT examination can not only observe the details of breast lesion characteristics, but also find distant lymph node metastasis, and directly observe the post-milk gap, local skin changes and other indirect signs of breast, mediastinal and lung to understand whether there are abnormal lesions, the identification of benign and malignant Lesions, plays a decisive role. Chest CT examination of this comprehensive, is not available by other means of inspection.