摘要
目的：探讨乳腺钼靶X线微钙化灶在乳头溢液症状乳腺癌诊断中的临床意义。方法选择临床症状仅表现为乳头溢液的102例患者的临床资料进行回顾性分析。分析钼靶微钙化在临床症状仅表现为乳头溢液的乳腺癌诊断中的作用。结果102例患者中病理诊断为恶性病变者32例，占31．4％；病理诊断为良性病变70例，占68．6％。良性微钙化8例，发生率为11．4％（8／70）；恶性微钙化20例，发生率为62．5％（20／32）；对在良、恶性病变中微钙化病例数进行比较，乳腺微钙化是乳头溢液患者与乳腺癌相关的高危因素（χ2＝28．761，P＜0．01）；溢液性状、导管内病变位置及微钙化与病理结果对比发现，钼靶微钙化多见于乳头溢液为血性的患者，良性微钙化多位于Ⅰ级乳管，恶性微钙化多位于Ⅱ～Ⅲ级乳管。结论钼靶微钙化在仅表现为乳头溢液的乳腺癌诊断中具有重要的临床意义。
Objective To discuss the clinical significance of mammographic microcalcifications in diagnosis of breast disease with nipple discharge.Methods Respective analysis was conducted on the clinical data of 102 cases with only nipple discharge to analyze the application of mammographic microcalcifications in diagnosis of breast disease with nipple discharge.Results Of 102 cases, pathological diagnosis showed 32 cases （31.4%） with malignant disease and 70 cases （68.6%） with benign disease.There were 8 cases with benign microcalcification, and the incidence was 11.4% （8/70）.There were 20 cases of malignant microcalcification with the incidence of 62.5% （ 20/32 ）. Comparison of cases with microcalcification in benign and malignant disease showed that mammographic microcalcification was the high risk factor of breast cancer and patients with nipple discharge （χ2 =28.761, P〈0.05）.Mammographic microcalcification was commonly found in patients with nipple discharge of blood, benign microcalcification in level I duct system and malignant microcalcification in level Ⅱ -Ⅲ duct system by comparing discharge characteristics, lesion site in duct system and microcalcification with pathological findings.Conclusion Mammographic microcalcification shows important clinical significance in clinical diagnosis of breast cancer with nipple discharge.
出处
《中国妇幼健康研究》
2015年第5期1082-1084,共3页
Chinese Journal of Woman and Child Health Research
基金
2013年陕西省科技厅科研资助项目
关键词
钼靶微钙化
乳头溢液
乳腺癌
诊断
mammographic microcalcification
nipple discharge
breast cancer
diagnosis
