摘要目的 提高钼铑双靶X线对早期乳腺癌诊断的准确性.方法 对41例经手术及病理证实早期乳腺癌X线征象进行回顾性分析.结果 早期乳腺癌征象:结节状肿块23例;钙化17例,X线未见明确肿块或结节而钙化灶为惟一恶性征象2例;非对称性密度增高12例;局限性皮肤增厚伴乳头凹陷2例.结论 ①肿块是早期乳腺癌重要的诊断依据;②微细钙化仍是早期乳腺癌重要的诊断依据,甚至比直接征象(肿块)更具特异性;③非对称性局限性致密、乳腺结构局部扭曲紊乱,在排除炎性反应和手术史后,应考虑乳腺癌可能;④除恶性钙化外,大于两种间接征象并存时,应高度重视,予以进一步检查或短期复查.

abstractsObjective To improve the pairs of molybdenum and rhodium target X ray of early breast cancer diagnostic accuracy. Methods 41 cases confirmed by surgery and pathology of early breast cancer X ray findings were analyzed retrospectively. Results signs of early breast cancer: 23 cases of nodular masses;calcification in 17 cases, X ray no clear lumps or nodules and calcification of the only 2 cases of malignant signs; non-symmetry of high density 12; limitations associated with skin thickening nipple retraction in 2 cases.Conclusion ①mass is an important basis for the diagnosis of early breast cancer;②micro-calcification is still an important basis for the diagnosis of early breast cancer, even more than the direct signs of (mass) more specific; ③non-symmetry of the limitations of dense breast structure of local distortions disorders, inflammation and surgical history of the exclusion, it should be possible to consider breast cancer ;④In addition to malignant calcification, the more than two kinds of indirect signs of co-exist, we should attach great importance to be further examination or short-term review.