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[目的]分析浸润性乳腺癌肿块的X线表现与病理学分级二者之间的关系。[方法]经乳腺X线检查、手术、病理证实的浸润性乳癌95例患者共98个病灶,肿块69个。按肿块的X线表现和大小分组,与病理分级对照。[结果](1)肿块的大小与病理学分级无相关性(χ2=4.43,P﹥0.05)。(2)III级的肿块率高于I、II级(χ2=5.17,P﹤0.05)。(3)肿块伴毛刺45个,肿块毛刺的有无与病理学分级无关系(χ2=0.05,P﹥0.05)。(4)69个肿块中有钙化28个,肿块型浸润性乳腺癌的病理分级与有无钙化无明显关系(χ2=0.21,P﹥0.05)。[结论]III级浸润性乳腺癌较多见于肿块型;非肿块型较肿块型预后相对较好,生存率相对较高;肿块周围的毛刺的出现并不代表较高的恶性程度,这只是癌肿的浸润性生长方式。
[Objective] To analyze the relationship between X-ray findings and pathological grade of invasive breast cancer. [Method] Ninety-nine lesions and 69 masses of 95 patients with invasive breast cancer proved by mammography, operation and pathology were included. By mass and the size of the X-ray grouping, and pathological grade control. [Results] (1) There was no correlation between tumor size and pathological grade (χ2 = 4.43, P> 0.05). (2) Grade III mass was higher than Grade I and II (χ2 = 5.17, P <0.05). (3) There were 45 burr with burr and no tumor burr with pathological grade (χ2 = 0.05, P> 0.05). There were 28 calcifications in 69 tumors. There was no significant correlation between pathological grade and invasiveness (χ2 = 0.21, P> 0.05). [Conclusion] The grade III invasive breast cancer is more common in the lump type. The non-lump type is better than the lump type in prognosis, and the survival rate is relatively high. The appearance of the lump around the lump does not represent a high degree of malignancy, Swollen infiltration of growth.