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目的:探讨不同组织类型乳腺浸润性非特殊癌CR钼靶X线征象及与组织学类型的关系。方法:回顾性分析120例经手术病理证实的乳腺浸润性非特殊癌患者的影像学表现,并与肿瘤组织类型进行对照研究其相关性。结果:肿瘤CR钼靶X线表现为肿块99例,毛刺征62例,钙化48例,结构扭曲、紊乱16例。肿块样表现见于浸润性导管癌55例、单纯癌34例、黏液腺癌2例、髓样癌6例、混合癌2例,其中并钙化40例;毛刺征见于浸润性导管癌41例和单纯癌21例;结构扭曲、紊乱多见于浸润性小叶癌8例、浸润性导管癌8例,其中并钙化6例,仅表现钙化2例。结论:不同组织类型的乳腺浸润性非特殊癌表现不同的CR钼靶X线影像,组织类型与其影像表现具有相关性,诊断乳腺癌应综合分析肿瘤各种X线征象。
Objective: To investigate the relationship between histopathological types and CR molybdenum target X-ray findings in different types of breast invasive nonspecific breast cancer. Methods: A retrospective analysis of 120 cases of pathologically confirmed invasive breast cancer patients with non-specific imaging and tumor tissue types were compared with the study of its relevance. Results: There were 99 cases of tumor with mammography, 62 cases of burr and 48 cases of calcification. The structure was distorted and disorganized in 16 cases. Tumor-like findings were found in 55 cases of invasive ductal carcinoma, simple carcinoma in 34 cases, mucinous adenocarcinoma in 2 cases, medullary carcinoma in 6 cases, mixed carcinoma in 2 cases, and calcification in 40 cases; burr sign in invasive ductal carcinoma in 41 cases and simple Cancer in 21 cases; structural distortion, disorder more common in infiltrating lobular carcinoma in 8 cases, invasive ductal carcinoma in 8 cases, and calcification in 6 cases, only showed calcification in 2 cases. CONCLUSION: CR molybdenum target X-ray images with different histological types of infiltrating breast non-specific cancers have correlations with their imaging manifestations. All kinds of X-ray signs of tumors should be analyzed comprehensively in the diagnosis of breast cancer.