摘要
目的分析乳腺钼靶X线表现,探讨其与保乳外科手术的关系。方法回顾分析38例乳腺癌所有病例术前及术后放射治疗后双侧乳腺头尾位和内外斜位图像,获取术中肿瘤标本组织做钼靶摄影。根据影像学不同的表现,采用不同的手术方式。术后常规病理检查。结果 38例乳腺癌,21例乳腺钼靶影像学表现符合保乳手术适应证,X线表现为:单发肿瘤直径≤3 cm,单簇细小钙化,单发肿瘤直径<3 cm加单簇细小钙化,行保乳手术治疗。乳腺钼靶影像学还可以有效评价保乳术放射治疗后乳腺的变化及有无复发。结论乳腺外科保乳的进步,依赖于影像学的进步,依赖于乳腺钼靶的检查。
Objective To analyze the imaging findings of X-ray mammography,and to explore the relationship of the imaging findings and the breast-conserving surgery. Methods Thirty-eight cases of breast cancers patients′preoperative and postoperative imaging findings including the craniocaudal projection and the madiolateral oblique projection of the bilateral mammo were retrospectively reviewed,and all inoperative acquired lesions do mammography after surgery.Then according to the different imaging findings,use different surgical methods. And do routine pathologi-cal examination after surgery. Results Twenty-one of 38 cases imaging findings conform indications for breast-con-serving surgery.Imaging findings：single tumor′s diameter less than or equal 3 cm, small calcification like cluster, single tumor＇ s diameter less than 3 cm and small calcification like cluster. Mammography radiographic also can effectively evaluate the change of mammo after the breast-conserving surgery and the radiation therapy and relapse or not. Con-clusion The progress of the breast conserving surgery depends on the progress of the radiographic and mammography.
出处
《实用医学影像杂志》
2015年第2期141-143,共3页
Journal of Practical Medical Imaging
关键词
乳腺肿瘤
乳腺钼靶X线影像学
外科保乳
Breast neoplasms
X-ray of mammography radiographic
Breast-conserving surgery
