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目的 :进一步提高对乳腺癌早期、不典型X线征象的认识。方法 :对 97例经手术病理证实的乳腺癌不典型X线征象作回顾性分析。结果 :乳腺癌不典型X线表现分非结节型和结节型。非结节型共 49例 ,包括 :①孤立成簇、微小、多形少量钙化 16例 ;②肿瘤呈“礼花样”表现 7例 ;③乳头后导管异常改变 10例 ;④局部腺体结构不良 12例 ;⑤乳腺内无异常表现 4例。结节型共 48例 ,包括 :①单发结节 3 7例 ;②多发小结节 11例。结论 :①每平方厘米内成簇、微小多形钙化灶少于 5枚是乳腺早期癌的重要依据 ;②癌瘤呈“礼花样”改变是诊断乳腺癌的一个新的征象 ;③局部腺体结构不良、乳头后导管异常改变对乳腺癌早期、不典型X线诊断具有重要价值 ;④边缘光滑或部分光滑的单、多发小结节也是乳腺癌重要的不典型X线征象。
Objective: To further improve the early breast cancer, atypical X-ray findings. Methods: A retrospective analysis of 97 cases of pathologically confirmed breast cancer atypical X - ray findings. Results: Breast cancer atypical X-ray showed non-nodular and nodular. Non-nodular total of 49 cases, including: ① isolated cluster, tiny, pleomorphic small amount of calcification in 16 cases; ② tumors were “fireworks” performance in 7 cases; ③ nipple abnormal changes in 10 cases; ④ local gland dysplasia 12 cases; ⑤ no abnormal breast within 4 cases. A total of 48 cases of nodules, including: ① single nodules 37 cases; multiple nodules in 11 cases. Conclusions: (1) Clusters per square centimeter, less than 5 small polygamous calcification is an important basis for early breast cancer; (2) The change of “fireworks pattern” is a new diagnosis of breast cancer; (3) Local gland Poor structure, abnormal changes in the posterior nipple duct for early breast cancer, atypical X-ray diagnosis is of great value; ④ smooth or smooth edge of the single, multiple nodules is also an important atypical X-ray signs of breast cancer.