乳腺良恶性病变中微钙化钼靶X线征象分析

张超; 王静; 陈宏伟

doi:10.13898/j.cnki.issn.1000-2200.2018.05.021

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乳腺良恶性病变中微钙化钼靶X线征象分析

张超 , 王静 , 陈宏伟

文章导航 > 蚌埠医学院学报 > 2018, 43 > 5: (633-636)

引用本文:

Citation:

乳腺良恶性病变中微钙化钼靶X线征象分析

安徽省宿州市立医院放射科, 234000

作者简介: 张超(1976-),男,硕士,主治医师.

中图分类号: R737.9;R814.41

The mammography analysis of microcalcifications in benign and malignant breast disease

Department of Radiology, Suzhou Municipal Hospital, Suzhou Anhui 234000, China
CLC number: R737.9;R814.41

摘要: 目的：探讨微钙化钼靶X线征象在乳腺良、恶性病变中的诊断及鉴别诊断的价值，以提高诊断准确性。方法：收集经术后病理证实术前均行X线摄影伴有微钙化的乳腺癌病人35例及乳腺良性病变37例，回顾性分析比较其钙化数目、密度、密集度、形态及分布特点。结果：乳腺良恶性病变微钙化在密度、数目、密集度、形态及分布5个指标方面差异有统计学意义（P<0.05～P<0.01）。乳腺癌中表现为低密度为主的微钙化比例高于乳腺良性病变组（P<0.05）。乳腺癌钙化数目≥20所占比例明显高于乳腺良性病变组（P<0.05）。乳腺癌微钙化密集度≥10/cm²所占比例明显高于乳腺良性病变组（P<0.01）。形态上良性组粗颗粒样钙化所占比例高，乳腺癌组仅出现1例，乳腺癌组中细沙样、线形分支样、蠕虫样及混合型钙化出现率高（P<0.01）。分布上弥漫状分布仅见于良性组，线状及段状分布乳腺癌组所占比例较高（P<0.01）结论：微钙化灶的数目、密度、密集度、形态及分布特征与乳腺良、恶性病变有一定关系，其钼靶X线征象可对乳腺良、恶性病变作出初步判断。
- 乳腺肿瘤 /
- 乳腺X线摄影术 /
- 微钙化
Abstract: Objective: To explore the diagnostic and differential diagnostic value of mammography of microcalcifications in benign and malignant breast disease for improving the accuracy of diagnosis.Methods: Thirty-five breast cancer patients complicated with microcifications diagnosed by mammography and 37 patients with breast benign disease were investigated.The number,density,intensity,morphology and distribution of microcalcification between benign and malignant breast disease were retrospectively analyzed.Results: There were statistical significances in the density,number,intensity,morphology and distribution of microcalcification between benign and malignant breast disease(P<0.05 to P<0.01).The ratio of hypodense microcalcifications in malignant breast disease was higher than that in benign breast disease(P<0.05).The ratio of microcalcification number more than or equal to 20 cases in malignant breast disease was higher than that in benign breast disease(P<0.05).The ratio of intensity ≥ 10/cm² in malignant breast disease was higher than that in benign breast disease(P<0.01).The ratio of coarse particle microcalcification in benign breast disease was significantly higher than that in malignant breast disease,and 1 case in breast cancer group was found.The ratio of the dusty,branching,vermicular and pleomorphic microcalcifications in breast cancer were higher(P<0.01).Scattering distribution of microcalcification was only in benign breast disease,while the ratio of linear and segmental distribution of microcalcifications in breast cancer group was higher(P<0.01).Conclusions: The density,number,intensity,morphology and distribution of microcalcification has certain correlation with benign and malignant breast disease,and the mammography of microcalcification can preliminarily estimate the benign and malignant breast disease.
- breast neoplasms /
- mammography /
- microcalcification

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乳腺良恶性病变中微钙化钼靶X线征象分析

作者简介: 张超(1976-),男,硕士,主治医师.

安徽省宿州市立医院放射科, 234000

收稿日期: 2017-08-23
录用日期: 2018-01-04

关键词:

摘要: 目的：探讨微钙化钼靶X线征象在乳腺良、恶性病变中的诊断及鉴别诊断的价值，以提高诊断准确性。方法：收集经术后病理证实术前均行X线摄影伴有微钙化的乳腺癌病人35例及乳腺良性病变37例，回顾性分析比较其钙化数目、密度、密集度、形态及分布特点。结果：乳腺良恶性病变微钙化在密度、数目、密集度、形态及分布5个指标方面差异有统计学意义（P<0.05～P<0.01）。乳腺癌中表现为低密度为主的微钙化比例高于乳腺良性病变组（P<0.05）。乳腺癌钙化数目≥20所占比例明显高于乳腺良性病变组（P<0.05）。乳腺癌微钙化密集度≥10/cm²所占比例明显高于乳腺良性病变组（P<0.01）。形态上良性组粗颗粒样钙化所占比例高，乳腺癌组仅出现1例，乳腺癌组中细沙样、线形分支样、蠕虫样及混合型钙化出现率高（P<0.01）。分布上弥漫状分布仅见于良性组，线状及段状分布乳腺癌组所占比例较高（P<0.01）结论：微钙化灶的数目、密度、密集度、形态及分布特征与乳腺良、恶性病变有一定关系，其钼靶X线征象可对乳腺良、恶性病变作出初步判断。

English Abstract

The mammography analysis of microcalcifications in benign and malignant breast disease

Department of Radiology, Suzhou Municipal Hospital, Suzhou Anhui 234000, China

Received Date: 2017-08-23
Accepted Date: 2018-01-04

Abstract: Objective: To explore the diagnostic and differential diagnostic value of mammography of microcalcifications in benign and malignant breast disease for improving the accuracy of diagnosis.Methods: Thirty-five breast cancer patients complicated with microcifications diagnosed by mammography and 37 patients with breast benign disease were investigated.The number,density,intensity,morphology and distribution of microcalcification between benign and malignant breast disease were retrospectively analyzed.Results: There were statistical significances in the density,number,intensity,morphology and distribution of microcalcification between benign and malignant breast disease(P<0.05 to P<0.01).The ratio of hypodense microcalcifications in malignant breast disease was higher than that in benign breast disease(P<0.05).The ratio of microcalcification number more than or equal to 20 cases in malignant breast disease was higher than that in benign breast disease(P<0.05).The ratio of intensity ≥ 10/cm² in malignant breast disease was higher than that in benign breast disease(P<0.01).The ratio of coarse particle microcalcification in benign breast disease was significantly higher than that in malignant breast disease,and 1 case in breast cancer group was found.The ratio of the dusty,branching,vermicular and pleomorphic microcalcifications in breast cancer were higher(P<0.01).Scattering distribution of microcalcification was only in benign breast disease,while the ratio of linear and segmental distribution of microcalcifications in breast cancer group was higher(P<0.01).Conclusions: The density,number,intensity,morphology and distribution of microcalcification has certain correlation with benign and malignant breast disease,and the mammography of microcalcification can preliminarily estimate the benign and malignant breast disease.