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炎性乳腺癌的X线诊断 被引量:17

Mammographic Manifestations of Inflammatory Breast Cancer
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摘要 目的:提高炎性乳腺癌的X线诊断准确性。材料与方法:对17例经病理证实的炎性乳腺癌作回顾性X线分析。结果:炎性乳腺癌X线征象表现以下特点:主要X线征象:肿块型4例,浸润型13例;次要X线征象:皮下脂肪层混浊、呈索条状致密影或细网状致密影11例,仅见皮下脂肪层密度高于健侧5例,皮肤广泛增厚10例,局部增厚6例;乳晕乳头:乳晕区增厚,乳头凹陷9例,乳晕区增厚,乳头无明显异常X线征象6例;血管影:较对侧增粗、迂曲12例,腋下见淋巴结肿大13例。结论:钥靶X线是炎性乳腺癌检查的首选方法,是其诊断及鉴别诊断的重要依据。 Purpose; To improve the diagnostic accuracy of inflammatory breast cancer. Materials and Methods: The mammographic films of 17 cases of inflammatory breast cancer pathologically proved were reviewed. Results: The X- ray characteristics of inflammatory breast cancer as follows: the major signs: the mass type 4 cases, the infiltration type 13 cases; the minor signs: the subcutaneous adipose layer opacity presenting as strip or reticular densa shadow 11 cases, only the subcutaneous adipose layer having higher density than the other health breast 5 cases, widespread thickened skin 10 cases, logical thickened skin 6 cases; the breast nipple and areola: thickened areola zoon with crater nipple 9 cases, thickened areola zoon with no visual nipple abnormal 6 cases; the breast vessel: more rough and tortuous vessel than the conttalateral breast 12 cases, sweeled lymph node of axillia 13 cases. Conclusion: The mammogram is the major method for checking inflammatory breast cancer and in differentiating cancer from mastitis.
出处 《现代医用影像学》 2003年第1期12-15,共4页 Modern Medical Imageology
关键词 炎性乳腺癌 X线诊断 急性乳腺癌 鉴别诊断 乳腺炎 局部腺体增生 Inflammatory breast cancer Mammogram
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