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目的 :评价高频X线摄影对乳腺良、恶性肿块的诊断价值。方法 :2 15例 (2 80个病灶 )患者均行乳腺高频X线照片 ,常规摄取双侧对照轴、斜位 ,部分加摄侧位及局部放大相。有乳头溢液者 ,加作患侧乳导管造影。本组病例均经手术病理或穿刺活检证实。结果 :肿瘤性病变 92例 ,其中纤维腺瘤 4 9例 ,纤维腺瘤合并囊肿 2例 ,错构瘤 2例 ,浸润性导管癌 35例 ,浸润小叶癌 2例 ,黏液腺癌 1例 ,多中心乳腺癌 1例。非肿瘤性病变 12 3例 ,其中乳腺炎性肿块 2 0例 ,腺小叶增生 2 3例 ,囊性增生 2 1例 ,囊肿 5 9例 (单纯乳腺囊肿 5 7例 ,积乳囊肿 2例 )。结论 :高频X线摄影对显示病变区微小钙化有明显优越性 ,而钙化灶的不同形态表现 ,对鉴别良、恶性乳腺肿块有重要意义。但对乳腺肿块中的实性和囊性病变不能明确诊断 ,需借助细针穿刺细胞学检查确诊 ;对致密型乳腺内病变的诊断尚有一定的难度。
Objective: To evaluate the value of high-frequency radiography in the diagnosis of benign and malignant breast tumors. Methods: Twenty-five patients (280 lesions) underwent high-frequency mammography radiographs. Bilateral control axis, oblique position, partial plus lateral and local enlargement were routinely taken. Nipple discharge who, plus for ipsilateral milk catheterography. The patients were confirmed by surgical pathology or biopsy. Results: There were 92 cases of neoplastic lesions, including 49 cases of fibroadenoma, 2 cases of fibroadenoma with cyst, 2 cases of hamartoma, 35 cases of invasive ductal carcinoma, 2 cases of invasive lobular carcinoma and 1 case of mucinous adenocarcinoma. One case of central breast cancer. There were 123 non-neoplastic lesions, including 20 cases of mammary inflammatory mass, 23 cases of glandular lobular hyperplasia, 21 cystic hyperplasia and 59 cysts (57 cases of simple cyst and 2 cases of complex cyst). Conclusion: High-frequency X-ray photography shows obvious superiority in displaying tiny calcification of the lesion area. However, the different forms of calcification are of great significance in differentiating benign and malignant breast masses. However, the breast masses in solid and cystic lesions can not be clearly diagnosed, need to be diagnosed by fine needle aspiration cytology; the diagnosis of intraductal lesions within the tight there is still a certain degree of difficulty.