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目的:探讨钼靶X线检查发现微钙化对乳腺触诊及彩超检查阴性乳腺疾病的诊断价值。方法:收集吉林省肿瘤医院2013年1月~2013年12月术前钼靶发现微钙化的76例患者。所有患者均行术前钼靶X线、高频彩超及相应临床检查,对其微钙化X线表现及病理结果进行回顾性分析。结果:乳腺良性病变共37例,占48.68%;恶性病变39例,占51.32%。良性病变的发病中位年龄为41岁,恶性病变的发病中位年龄为54岁。59例(77.63%)患者表现为簇状钙化,17例(22.37%)患者表现为散在钙化。簇状钙化乳腺癌发生率为62.71%(37/59),散在钙化乳腺癌发生率为11.76%(2/17),其中2例散在钙化的乳腺癌患者均为形状不规则。结论:乳腺钼靶X线微钙化特征,有助于诊断乳腺触诊及彩超检查阴性的早期乳腺癌。散在钙化通常出现在良性乳腺疾病中,但当形状不规则时应警惕乳腺癌可能。
OBJECTIVE: To investigate the diagnostic value of mammography in the detection of breast cancer and color Doppler ultrasound in patients with negative breast disease. Methods: Totally 76 patients with microcalcifications found in preoperative molybdenum target of Jilin Provincial Tumor Hospital from January 2013 to December 2013 were collected. All patients underwent preoperative molybdenum target X-ray, high frequency ultrasound and the corresponding clinical examination, the micro-calcification X-ray findings and pathological findings were retrospectively analyzed. Results: Benign breast lesions in 37 cases, accounting for 48.68%; malignant lesions in 39 cases, accounting for 51.32%. The median age of benign lesions was 41 years and the median age of malignant lesions was 54 years. 59 cases (77.63%) showed cluster calcification, and 17 cases (22.37%) showed scattered calcification. The incidence of cluster calcified breast cancer was 62.71% (37/59). The incidence of scattered calcified breast cancer was 11.76% (2/17). Two cases of calcified breast cancer were irregular in shape. Conclusion: Mammography X-ray microcalcification is helpful for the diagnosis of early breast cancer with palpation and color Doppler ultrasound examination. Scattered calcification is usually found in benign breast disease, but breast cancer may be warned when the shape is irregular.