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目的:探讨早期乳腺癌的钼靶X线和超声表现及钼靶X线联合超声检查对早期乳腺癌的诊断价值。方法:回顾性分析23例经病理证实的早期乳腺癌的钼靶X线和超声表现,23例均行钼靶X线摄片,其中14例同期配合超声检查。结果:X线表现为结节肿块影17例,彗星尾征5例、伪足征4例、导管征2例,微小钙化16例,还有血运增加6例、脂肪层浑浊3例,皮肤增厚5例,乳头凹陷4例。超声表现为不均匀低回声实性占位12例,5例有细点状钙化,6例可见血流信号,1例显示为低回声带。结论:早期乳腺癌的X线检查的直接征象不典型,需注意间接征象,辅助超声扫描可以有效提高早期乳腺癌的诊断率。
Objective: To investigate the mammography X-ray and ultrasonography of early breast cancer and the diagnostic value of mammography combined with ultrasonography in the diagnosis of early-stage breast cancer. Methods: Twenty-three cases of pathologically confirmed early-stage breast cancer were analyzed by mammography and ultrasonography. Twenty-three patients underwent mammography. Of the 14 patients, 14 were mated with ultrasound. Results: X-ray showed nodules in 17 cases, comet tail in 5 cases, pseudopodia in 4 cases, catheter sign in 2 cases, microcalcification in 16 cases, as well as increased blood supply in 6 cases, 3 cases of fatty layer turbidity, skin Thickening in 5 cases, 4 cases of nipple depression. Ultrasound showed uneven hypoechoic solid placement in 12 cases, fine calcification in 5 cases, 6 cases of visible blood flow signal, 1 case showed hypoechoic. Conclusion: The direct signs of X-ray examination of early stage breast cancer are not typical. Indirect signs should be noticed. Auxiliary ultrasound scan can effectively improve the diagnosis rate of early stage breast cancer.