乳腺影像報(bào)告和數(shù)據(jù)系統(tǒng)規(guī)范下的乳腺癌X線表現(xiàn)及病理基礎(chǔ)
發(fā)布時(shí)間:2018-03-07 19:14
本文選題:乳腺癌 切入點(diǎn):發(fā)病率 出處:《復(fù)旦大學(xué)》2013年碩士論文 論文類型:學(xué)位論文
【摘要】:目的 探討乳腺鉬靶X線攝像在乳腺癌診斷中的價(jià)值,加深乳腺影像報(bào)告和數(shù)據(jù)系統(tǒng)(BI-RADS)規(guī)范下的乳腺癌X線特征的認(rèn)識(shí),以期提高女性乳腺癌病灶的檢出和評(píng)估。方法按照美國(guó)放射學(xué)會(huì)(ACA)創(chuàng)立并推薦的BI-RADS,回顧性總結(jié)2310例病灶的乳腺鉬靶X線攝像特征,并對(duì)經(jīng)病理證實(shí)的乳腺癌進(jìn)行分級(jí)及年齡層分析。對(duì)94例有手術(shù)或穿刺活檢證實(shí)的病例,對(duì)鉬靶影像學(xué)征象、臨床表現(xiàn)、年齡層、體重指數(shù)等多方面進(jìn)行比較分析。結(jié)果(1)經(jīng)過(guò)分類統(tǒng)計(jì),2310例病灶中:0級(jí)為20例(0.87%),1級(jí)為321例(13.90%),2級(jí)為1105例(47.84%),3級(jí)為594例(25.71%),4a級(jí)為179例(7.75%),4b級(jí)為52例(2.25%),4c級(jí)為21例(0.91%),5級(jí)為1 8例(0.78%)。(2)94例經(jīng)手術(shù)或穿刺活檢證實(shí),確診良性54例(57.45%),惡性40例(42.552%)。(3)在40例惡性病灶中,X線顯示單純腫塊16例(40.0%),腫塊伴鈣化14例(35.0%),不對(duì)稱性密度增高5例(12.5%),僅有鈣化者5例(12.5%),結(jié)構(gòu)扭曲13例(32.5%)。結(jié)論乳腺鉬靶X線攝像技術(shù)在BI-RADS的規(guī)范下,在乳腺良惡性疾病的鑒別中具有重要價(jià)值。
[Abstract]:Objective to explore the value of mammography in the diagnosis of breast cancer, and to deepen the understanding of mammography characteristics of breast cancer under BI-RADS specification. Methods according to the BI-RADS established and recommended by the American Society of Radiology, the mammography features of 2310 cases of breast cancer were retrospectively summarized. The grade and age of breast cancer confirmed by pathology were analyzed. In 94 cases confirmed by operation or puncture biopsy, mammography signs, clinical manifestations, age group were analyzed. Body mass index and other aspects were compared and analyzed. Results: 1) according to the classification of 2310 lesions, 20 cases were divided into 0 grade 0, 20 cases 0.87 cases, 321 cases with grade 1, 13.9090 and 1 grade 1, 1105 cases with grade 2, 47.84 and 3, 594 cases with grade 4a of 7.751a, 179 cases with grade 7.75, 4b, 52 cases with grade 2.2525, 4c, grade 21, grade 0.911J, 18 cases. 94 cases were confirmed by operation or puncture biopsy. In the 40 cases of malignant lesions, the X ray showed simple mass in 16 cases, simple mass in 16 cases, calcification in 14 cases (35. 0%), asymmetry density in 5 cases (12. 5%), calcification in 5 cases (12. 5%), structure distortion in 13 cases (32. 5%). Target X-ray camera technology under the BI-RADS specification, It has important value in differentiating benign and malignant breast diseases.
【學(xué)位授予單位】:復(fù)旦大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2013
【分類號(hào)】:R737.9;R730.44
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