摘要
目的探讨双侧乳腺钼靶在浸润性小叶癌(ILC)与浸润性导管癌(IDC)鉴别诊断中的应用。方法选择浸润期乳腺癌患者64例,依据术后病理结果将其分为ILC33例和IDC31例,对两种疾病患者的乳腺钼靶X线片特征进行分析。结果33例ILC患者乳腺钼靶X线检查,结构紊乱扭曲、不对称致密影23例(69.70%),肿块伴有毛刺、边缘浸润10例(30.30%),未见肿块伴有钙化者。31例IDC患者中,乳头凹陷者4例(12.90%),伴有皮肤和乳晕增厚者6例(19.35%),肿块伴有毛刺、边缘浸润者13例(41.94%),肿块边界清晰者2例(6.45%),肿块伴有钙化者4例(12.90%),单纯钙化者1例(3.23%),不对称性致密影1例(3.23%)。ILC与IDC患者的病变部位比较,差异具有统计学意义(χ^(2)=9.356,P<0.01)。结论双侧乳腺钼靶X线检查能够提高ILC与IDC的鉴别诊断准确率,有利于患者的诊治,值得在临床进行推广。
Objective To explore the application of bilateral breast molybdenum targets in differential diagnosis of breast invasive lobular carcinoma(ILC)and invasive ductal carcinoma(IDC).Methods 64 patients with invasive breast cancer were selected and divided into 33 cases of ILC and 31 cases of IDC according to the postoperative pathological results.The imaging features of mammography in patients with the two diseases were comparatively analyzed.Results In 33 patients with ILC,mammography showed 23 cases(69.70%)with disorganized and distorted structures and asymmetric dense shadows,10 cases(30.30%)having masses with burrs and marginal infiltration,and none cases having masses with calcification.In the 31 patients with IDC,there were4 cases(12.90%)with nipple retraction,6 cases(19.35%)with skin and areola thickening,13 cases(41.94%)having masses with burrs and marginal infiltration,2 cases(6.45%)having masses with clear borders,4 cases(12.90%)having masses with calcification,1 case(3.23%)with simple calcification,and 1 case(3.23%)with asymmetric dense shadow.There was a statistically significant difference between ILC and IDC in lesion location(χ^(2)=9.356,P<0.01).Conclusion Bilateral mammography of mammography can improve the accuracy of the differential diagnosis of ILC and IDC,which is beneficial to the diagnosis and treatment of patients and is worthy of clinical promotion.
作者
杜俊青
梁丽莉
Du Junqing;Liang Lili(Dengfeng People's Hospital,Dengfeng 452470,China)
出处
《哈尔滨医药》
2022年第3期29-31,共3页
Harbin Medical Journal
关键词
浸润性小叶癌
浸润性导管癌
乳腺钼靶
Invasive lobular carcinoma
Invasive ductal carcinoma
Mammography
