摘要
目的研究乳腺X线检查中浸润性导管癌(IDC)与导管原位癌(DCIS)钙化表现的特点,探讨两者乳腺癌钙化的组织病理学特征。方法参照BIRADS标准及WHO关于乳腺癌的分类、分级标准,回顾性分析乳腺X线检查中有钙化表现并经手术病理证实的353例IDC及70例DCIS的X线表现。结果 (1)单纯性钙化与钙化合并肿块在两者乳腺癌中差异有统计学意义(P<0.05)。(2)多形不均质与线样分支状钙化在两者乳腺癌中差异有统计学意义(P<0.008)。(3)钙化呈区域性、成簇及腺叶区段性分布在两者乳腺癌中差异有统计学意义(P<0.008)。(4)IDC合并的DCIS所处病灶的位置在病理分级中差异有统计学意义(P<0.05)。结论全面、仔细分析乳腺X线检查中钙化灶的形态、分布特点,对提高乳腺癌的X线诊断水平、推断乳腺癌的病理类型及评估预后有很大价值。
Objective To study the mammography＇s performance for characteristics of calcification between infiltrating ductal carcinoma （IDC） and ductal carcinoma in situ （DCIS）, and to analyze the histopathologi cal characteristics of both types. Methods Referring to the standard of Breast Imaging and Data System （BIRADS） and the latest WHO about breast cancer, analyzed retrospectively the breast mammography signs of 353 cases of IDC and 70 cases of DCIS in which with calcification by surgery and pathology. Resuits （1）There was a significant difference between the pure calcification and calcification combined with mass （P %0.05）. （2）There was a significant difference between fine plcomorphic and fine linear-branching calcification in IDC and DCIS （P 〈0.05）. （3） There was a significant difference between the regional, clustered and segmental in DCIS pathologic classification （P 〈0.05）. （4） There was a significant differ ence about the location of the lesions with IDC combined DCIS in pathology classification （P 〈0.05）. Conclusion To analyze comprehensively and carefully the characteristics of shape and distribution, which is of great value to improve diagnostic level and to deduce the pathological type, Estimating prognosis of breast cancer.
出处
《新疆医科大学学报》
CAS
2013年第1期62-65,共4页
Journal of Xinjiang Medical University
关键词
乳腺X线摄影
浸润性导管癌
导管原位癌
钙化
组织病理学
mammography
infiltrating ductal carcinoma （IDC）
ductal carcinoma in situ （DCIS）
calcification
histopathology
