论文部分内容阅读
目的提高乳腺X线摄影对乳腺单纯性囊肿诊断的认识。方法回顾2000-03～2004-0339例经手术、病理证实为乳腺单纯性囊肿的钼靶X线征象。结果39例56个乳腺单纯性囊肿患者:X线正确诊断为单纯性囊肿的23例,诊断为纤维腺瘤的10例,乳腺癌2例,肿块待查4例。正确率59.0%,误诊率41.0%。囊肿X线表现:呈圆形12个,卵圆形38个,轻度分叶状4个,慧星尾状肿块2个。囊肿边界清楚、锐利26个,部分清楚、部分模糊27个,全部模糊3个。囊肿密度均匀54个,伴有钙化2个。其中囊肿长轴垂直于胸壁20个,指向乳头方向18个。囊肿加压后变形4个。结论仔细分析乳腺单纯性囊肿的X线征象有助于提高对本病诊断的准确性。
Objective To improve the diagnosis of simple breast cyst by mammography. Methods From 2000-03 to 2004-0339, the mammographic X-ray findings of simple cyst of mammary gland confirmed by operation and pathology were retrospectively reviewed. Results Of the 39 patients with 56 simple breast cysts, 23 were correctly diagnosed as simple cysts by X-ray, 10 were diagnosed as fibroadenoma, 2 were breast cancer and 4 were examined by mass. The correct rate was 59.0% and the rate of misdiagnosis was 41.0%. X-ray cyst: round 12, oval 38, mild lobulated 4, comet tail-like mass 2. Clear cyst boundary, sharp 26, partially clear, partially fuzzy 27, all 3 fuzzy. The density of cysts was 54, with 2 calcifications. The long axis of the cyst perpendicular to the chest wall 20, pointing to the nipple direction 18. Cyst compression 4 after deformation. Conclusions Careful analysis of X-ray signs of simple breast cyst can help improve the accuracy of the diagnosis of this disease.