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目的探讨多层螺旋CT及钼靶摄影在乳腺癌诊断中的应用价值。方法回顾性分析经病理证实的71例乳腺癌平扫,增强及重建图像。结果71例乳腺癌均为肿块型,57例表现为不规则形,48例边缘见毛刺,8例皮肤改变,4例皮肤内陷,周围侵犯12例,32例见腋窝淋巴结,纵隔淋巴结及肺内转移。增强后肿块强化明显,CT值升高(18~83)HU;并行重建使肿块周边结构呈立体显示。结论多层螺旋CT检查在乳腺癌定性诊断中有一定的应用价值。
Objective To investigate the value of multi-slice spiral CT and mammography in the diagnosis of breast cancer. Methods Retrospective analysis of 71 cases of breast cancer confirmed by pathology, enhancement and reconstruction of the image. Results 71 cases of breast cancer were mass type, 57 cases showed irregular shape, 48 cases of edge see burr, 8 cases of skin changes, 4 cases of skin retraction, surrounding encroachment in 12 cases, 32 cases of axillary lymph nodes, mediastinal lymph nodes and lung Internal transfer. After the enhancement, the mass of the tumor was obviously strengthened and the CT value was increased (18-83) HU. The parallel reconstruction showed the three-dimensional structure of the surrounding mass. Conclusion Multi-slice spiral CT has certain value in the qualitative diagnosis of breast cancer.