摘要
目的：探讨乳腺导管内乳头状癌CT影像诊断价值。资料方法：搜集4例临床手术证实乳腺导管内乳头状癌CT影像资料,全部女性,年龄68~84岁,平均76.25岁,病史6个月~1年,全部单侧发病,单发肿瘤。临床表现乳房肿块,肿块逐渐增大,疼痛,质硬。3例边缘光滑,活动度好;1例浅分叶,局部皮肤略凹陷,活动度稍差。1例乳房有分泌血性乳液;3例未见乳房分泌物。CT设备采用西门子Emotion螺旋CT,平扫加增强,层厚3~5 mm,增强造影剂采用GE药业欧乃派克非离子造影剂80 m L。结果：4例病例CT表现为单个肿瘤,直径2.8~5.0 cm,囊实性肿块,表现类圆形,外缘光整,囊壁局部呈不规则增厚,平扫壁结节呈中等密度,增强后明显强化,液性部分不强化,壁轻度强化。腋窝及锁骨下未见明显增大淋巴结。结论：乳腺导管内乳头状癌为乳腺癌少见类型,增强CT具有特征性影像表现,可以做出准确影像诊断。
Objective： To explore the value of imaging diagnosis of intraductal papillary carcinoma of breast CT. Methods： To collect 4 cases of clinical operation confirmed intraductal papillary carcinoma of breast CT image data, all female, age 68-84 years old, average 76.25 years old, medical history in 6 months-1 years, all unilateral, sporadic neoplasms. Clinical manifestations of breast lumps, progressive swelling, pain, qualitative hard, 3 cases with smooth edge, activities of the good, 1 case of shallow points leaves, local skin slightly concave, activity slightly worse. In 1 cases of breast secretory bloody emulsion, 3 cases were breast secretions. Clinical and CT examination data, the CT device using Siemens Emotion spiral CT, scan and enhanced, a thick layer of 3-5 mm, contrast agent using GE pharmaceutical company is the Onipic contrast agent 80 mL. Results： 4 cases of CT as asingle tumor, diameter 2.8-5.0 cm, cystic, showing round, edge finishing, cystic wall local irregular thickening, scan wall nodule showed are medium-density, marked enhancement after the liquid part, not enhanced, wall enhancement. Axillary and subclavian no significant increased lymph nodes. Conclusion： intraductal papillary carcinoma of breast cancer rare types, enhanced CT has characteristic imaging findings, can make accurate diagnosis.
出处
《CT理论与应用研究（中英文）》
2015年第1期111-116,共6页
Computerized Tomography Theory and Applications
