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目的分析炎性乳腺癌的X线表现、病理基础及临床特点,以提高对该病的诊断准确性。方法回顾分析12例经手术病理证实的炎性乳腺癌的X线特点及临床表现。结果 12例中6例(50%)为典型炎性乳腺癌。乳腺皮肤有红肿热痛等炎症表现,可触及肿块,X线可见肿块,伴或不伴有恶性钙化。皮下脂肪层混浊,呈索条状或细网状致密影。皮肤增厚、腋下淋巴结肿大。6例有临床炎症表现,触诊乳腺局部或弥漫性坚实,X线未见明确肿块,3例误诊为乳腺炎,其余3例抗炎无效后经针吸穿刺细胞学证实炎性乳腺癌。结论充分认识和掌握炎性乳腺癌的临床及X线特点,对该病的诊断意义重大。
Objective To analyze the X-ray findings, pathological basis and clinical features of inflammatory breast cancer in order to improve the diagnostic accuracy of the disease. Methods Retrospective analysis of 12 cases of pathologically confirmed inflammatory breast cancer X-ray features and clinical manifestations. Results Of 12 cases, 6 cases (50%) were typical inflammatory breast cancer. Breast skin swelling and other inflammatory pain, swelling, palpable mass, X-ray mass can be seen, with or without malignant calcification. Subcutaneous fat layer opacity, was a strip or fine mesh dense shadow. Skin thickening, armpit lymph nodes. 6 cases had clinical inflammation, palpation of local or diffuse breast solid, no clear X-ray mass, 3 cases misdiagnosed as mastitis, and the remaining 3 cases after anti-inflammatory cytology proved by needle aspiration of inflammatory breast cancer. Conclusion The clinical and X-ray features of inflammatory breast cancer are fully understood and mastered, which is of great significance in the diagnosis of this disease.