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乳腺叶状肿瘤的钼靶X线及临床病理分析 预览 被引量:1

Molybdenum Target X-ray and Clinicopathological Analysis of Breast Lobular Tumor
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摘要 目的分析乳腺叶状肿瘤的x线表现,探讨钼靶x线对于乳腺叶状肿瘤的诊断价值。方法回顾性分析经病理证实的55例乳腺叶状肿瘤的X线检查资料。结果良性33例(60%),交界性14例(25.5%),恶性8例(14.5%)。病灶直径约1.5~25cm,其中33例为圆形或椭圆形,22例为分叶状,38例边界清晰,17例边缘模糊,29例伴有晕征,9例有钙化灶。结论乳房内肿块大,分叶状,边界清晰且周边有“透明晕征”是乳腺较特征的X线征象;肿块短期内快速增大有助于叶状肿瘤的诊断;同时,边缘模糊并伴细小点状钙化,提示肿瘤恶性程度较高。认识乳腺叶状肿瘤的X线特征,有助于提高诊断率,以期给予临床更好的指导。 Objective To analyze the X-ray manifestations of breast lobular tumor and to explore the diagnostic value of molybdenum target X-ray for breast lobular tumor. Methods X-ray examination data of 55 cases of breast lobular tumor confirmed by pathology were analyzed retrospectively. Results 33 cases were benign(60% ), 14 cases were borderline(25. 5% ) ,and 8 cases were malignant( 14. 5% ). The diameter of the lesion was about 1.5 -25cm, of which 33 cases were round or oval ,22 were lobulated,38 cases of clear boundary, 17 cases of blurred edge, 29 cases with halo sign, 9 cases with calcification. Conclusion Large,lobulated breast masses ,clear boundary and surrounding a "transparent halo sign" are characteristics of the X-ray signs of breast ; Rapid enlargement of masses in the short term is helpful to the diagnosis of lobular tumors ; At the same time, the edge of the tumor was blurred with small calcification, which indicated that the malignant degree of the tumor was higher. Understanding the X-ray features of breast lobular tumor is helpful to improve the diagnosis rate,in order to give better clinical guidance.
作者 姚建莉 任静 曹英 许国辉 周鹏 Yao Jianli , Ren Jing , Cao Ying , et al. (Department of Imaging, Sichuan Cancer Hospital, Chengdu , Sichuan 610041, China)
出处 《四川医学》 CAS 2018年第2期192-195,共4页 Sichuan Medical Journal
关键词 乳腺肿瘤 叶状肿瘤 X线 钼靶 breast tumor foliage tumor X ray molybdenum target
作者简介 通信作者,Email:renjennycd@163.com
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