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目的探讨乳腺癌钼靶X线表现、X线分型和病理关系,以提高乳腺癌诊断水平。方法收集经手术病理证实、有完整影像资料的乳腺癌114例,回顾分析其钼靶X线征象及与病理关系。结果乳腺癌分5型:肿块型34例,肿块伴钙化型27例,钙化型28例,结构异常型21例,隐匿型4例。浸润性导管癌最多,占61.4%,其次是单纯癌,占20.1%。结论肿块型、肿块伴钙化型和钙化型乳腺癌钼靶X线表现具有特征性,乳腺钼靶X线摄影能明确诊断。结构异常型乳腺癌X线表现不典型,认识其X线征象,可明显提高乳腺癌的影像诊断率。
Objective To investigate the mammographic X-ray findings, X-ray classification and pathological features of breast cancer in order to improve the diagnosis of breast cancer. Methods A total of 114 cases of breast cancer with complete imaging data were collected and confirmed by surgery and pathology. The mammographic X-ray signs and pathological changes were retrospectively analyzed. Results Breast cancer sub-type 5: mass in 34 cases, mass with calcification in 27 cases, calcification in 28 cases, structural abnormalities in 21 cases, occult in 4 cases. The most invasive ductal carcinoma, accounting for 61.4%, followed by simple carcinoma, accounting for 20.1%. Conclusions Molybdenum target X-ray manifestations of lump type, lumps with calcification and calcification type breast cancer are characteristic. Molybdenum target mammography can confirm the diagnosis. X-ray findings of atypical breast cancer are not typical, understanding of the X-ray signs can significantly improve the diagnostic rate of breast cancer.