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乳腺叶状肿瘤的钼靶X线及临床病理分析
姚建莉;任静;曹英;许国辉;周鹏;
四川省肿瘤医院影像科
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。
关键词:  乳腺肿瘤  叶状肿瘤  X线  钼靶
DOI:
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基金项目:
Molybdenum Target X-ray and Clinicopathological Analysis of Breast Lobular Tumor
Yao Jianli;Ren Jing;Cao Ying
Department of Imaging,Sichuan Cancer Hospital
Abstract:
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 ~ 25 cm,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
Key words:  breasttumor  foliagetumor  Xray  molybdenumtarget
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