摘要
目的:研究乳腺导管原位癌及微浸润的磁共振成像(MRI)影像学表现,为临床诊断提供依据。方法:回顾性分析2010年1月-2014年1月我院肿瘤内科手术确诊的乳腺导管原位癌及微浸润28例患者为研究对象。统计患者术前MRI检测结果。结果:9例肿块样强化(4例内部强化不均匀、5例边缘强化。T1W1均表现为低信号,T2W1均表现为微高信号;4例TIC曲线轮廓清晰型,5例TIC曲线轮廓平台型)。19例非肿块样强化(19例非肿块样强化中,肿块内部卵石样合并簇状环状强化13例;13例T2W2为微高信号与高信号混合信号;5例TIC曲线轮廓流出型,14例TIC曲线轮廓平台型)。结论:应用MRI影像学检查,可发现细微的钙化,综合临床查体和影像学检查结果能够确诊乳腺导管原位癌及微浸润。
Objective To study the magnetic resonance imaging(MRI) diagnosis for ductal carcinoma in situ and microinvasive, and provide reference for clinical diagnosis and pathological type. Methods This paper adopted a retrospective analysis research. 28 patients from 2010-2014 diagnosed with ductal carcinoma in situ and micro infi ltration were chosen for the study. Results Nine cases were mass-like strengthening internal(4 cases inhomogeneous enhancement, edge enhancement.T1W1 5 cases showed low signal, T2W1 showed a slightly high signal; 4 cases of TIC outline clear type, 5 cases of TIC curve profile platform type).19 cases of non-mass-like enhancement(non-mass-like enhancement in 19 cases, pebble-like mass of internal consolidation tufted ring enhancement total 13 cases; 13 cases T2W2 micro high signal mixed-signal and high signal; fi ve cases out of TIC curve profi le type, 14 cases of TIC curve profi le platform type). Conclusion Application of MRI method can effectively discover subtle calcifi cations, and the comprehensive clinical examination and imaging fi ndings can diagnose ductal carcinoma in situ and micro-invasive pathological type.
出处
《深圳中西医结合杂志》
2015年第16期75-76,共2页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine