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目的分析乳腺癌典型及不典型X线征象,提高对乳腺癌不典型X线表现的认识。方法对61例经手术病理证实的乳腺癌资料进行回顾性分析。结果61例乳腺癌主要X线征象:肿块39例;微小钙化30例;不伴肿块及微小钙化的乳腺局部结构紊乱4例、星芒征3例、非对称性密度增高3例。结论肿块及微小钙化是乳腺癌最主要、最直接的X线征象,但部分乳腺癌X线上缺乏上述2种表现,单纯以结构紊乱、非对称性密度增高或星芒征为主要表现。提高对此类乳腺癌不典型X线表现的认识,有利于防止误、漏诊。
Objective To analyze the typical and atypical X-ray features of breast cancer and improve the understanding of atypical X-ray findings of breast cancer. Methods The data of 61 cases of breast cancer confirmed by surgery and pathology were retrospectively analyzed. RESULTS: The main X-ray findings in 61 cases of breast cancer were: mass in 39 cases; microcalcification in 30 cases; local mass disturbance in 4 cases without mammography and microcalcification, 3 cases in symmetry, and 3 cases in asymmetric density. Conclusion The mass and microcalcification are the most important and direct X-ray signs of breast cancer. However, some of the breast cancer X-rays lack the above two types of performance. The main manifestations are structural disorder, increased asymmetry density or star-rendering. Raising awareness of this type of breast cancer with atypical X-ray findings can help prevent misdiagnosis and missed diagnosis.