孙哲, 梁洪伟, 徐惠绵. 176例乳腺癌数字化摄影的X线征象与临床病理关系的探讨[J]. 中国肿瘤临床, 2005, 32(16): 928-931.
引用本文: 孙哲, 梁洪伟, 徐惠绵. 176例乳腺癌数字化摄影的X线征象与临床病理关系的探讨[J]. 中国肿瘤临床, 2005, 32(16): 928-931.
Sun Zhe, Liang Hong-wei, Xu Hui-mian. Relationship between the Full-field Digital Mammographic Features and Clinicopathologic Characteristics in 178 Cases with Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(16): 928-931.
Citation: Sun Zhe, Liang Hong-wei, Xu Hui-mian. Relationship between the Full-field Digital Mammographic Features and Clinicopathologic Characteristics in 178 Cases with Breast Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(16): 928-931.

176例乳腺癌数字化摄影的X线征象与临床病理关系的探讨

Relationship between the Full-field Digital Mammographic Features and Clinicopathologic Characteristics in 178 Cases with Breast Cancer

  • 摘要: 目的:探讨乳腺癌X线特点与临床、病理的关系。方法:将176患者的病灶特点,与临床资料、病理类型、腋淋巴结转移对照。结果:以单纯钙化为表现的乳腺癌多为年轻患者,50岁以下占84.4%;以钙化合并肿块者多为老年患者。导管内癌和导管内癌早期浸润的乳腺癌X线表现多为单纯钙化。以钙化合并毛刺样肿块为表现的乳腺癌具有较高的腋淋巴结转移率;以单纯蠕虫样钙化、单纯毛刺样肿块及单纯非蠕虫样钙化为表现者,腋淋巴结转移率亦较高。单纯蠕虫样钙化伴腋淋巴结转移4~9枚占75.0%(6/8);钙化合并毛刺样肿块者,腋淋巴结转移4~9枚占27.8%(10/36),10枚以上占16.7%(6/36)。结论:单纯钙化多见于年轻患者,多为早期乳腺癌。蠕虫样钙化、毛刺样肿块与腋淋巴结转移阳性关系密切,是预后不良的指标。

     

    Abstract: Objective: To study the relationship between the full- field digital mammographic features and clinicopathologic characteristics in breast cancer. Methods: Digital mammograms of178 patients with pathologically proved breast cancer were reviewed. Also, clinical and pathologic records (his-tological types and axillary nodes status) were retrospectively drawn. Results: Most of the patients with solitary micro- calcifications were young women under 50 yrs old (84.4%) and majority of the patients with micro- calcifications with the mass were the aged women. Micro- calcifications in mammography occurred frequently in intra- ductal carcinoma in situ and early invasive carcinoma. The breast cancer with expression of microcalcification cimbined with burr- like mass had a high metastasis rate of axillary lymph nodes; A high metastasis rate of axillary lymph nodes can also be found in the patients with solitary worm- like microcalcification, solitary burr- like tumor and simple non- wormlike microcalcification. Simple wormlike microcalcification accompanied with metastasis of four to nine axillary lymph nodes occurred in 75.0% (6/8) cases. The patients with microcalcification combining burr- like tumor and with metastasis of four to nine axillary lymph nodes acounted for 27.8% (10/36)of the cases, and those with metastasis of ten and over accounted for 16.7% (6/36). Conclusion: Solitary microcalcifica-tion occur frequently in young women and is usually associated with the early breast cancer. There is a close relationship between wormlike microcalcification, burr- like tumor and positive metastasis of axillary lymph nodes, which is an index of poor prognosis.

     

/

返回文章
返回