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目的探讨炎性乳腺癌(inflammatory breast cancer,IBC)的临床及影像学特征。资料与方法回顾性分析23例(24个患乳)经手术病理证实的IBC患者的临床及影像资料。结果IBC钼靶X线表现:皮肤增厚24个,并伴皮下脂肪层混浊见“索条”状、“网格”状致密影及乳腺小梁增粗,乳晕区皮肤增厚8个;乳腺弥漫性密度增高17个,片状密度增高5个;结节肿块9个;微小钙化12个;乳头回缩7个。超声:乳腺皮肤增厚24例,实性腺体回声改变18个,有皮肤淋巴管扩张11个,实性肿块13个,胸壁肌肉受侵1个,局灶性腺体回声改变6个,腋下淋巴结肿大23例。结论IBC具有典型的临床及X线表现。超声有助于发现肿块及有无胸壁肌肉及腋下淋巴结受侵。
Objective To investigate the clinical and imaging features of inflammatory breast cancer (IBC). Materials and Methods Retrospective analysis of clinical and imaging data of 23 patients (24 breasts) with pathologically confirmed IBC. Results The X-ray findings of IBC mammography showed that the skin was thickened 24 times, accompanied by subcutaneous fat layer opacity, the “stripe” shape, the “grid” dense shadow and the thickening of the mammary trabecula, the thickening of the areola area 8; breast diffuse density increased 17, sheet density increased 5; nodular tumor 9; microcalcification 12; nipple retraction 7. Ultrasound: 24 cases of mammary gland thickening, 18 cases of solid gland echogenicity, 11 cases of dilated lymphatic vessels, 13 solid tumors, 1 chest wall muscle invasion, 6 changes of focal gland echo, Under the lymph nodes in 23 cases. Conclusion IBC has a typical clinical and X-ray findings. Ultrasound helps to detect lumps and chest wall muscle involvement and underarm lymph nodes.