摘要:
目的:探讨乳腺导管内乳头状癌CT影像诊断价值。资料方法:搜集4例临床手术证实乳腺导管内乳头状癌CT影像资料,全部女性,年龄68~84岁,平均76.25岁,病史6个月~1年,全部单侧发病,单发肿瘤。临床表现乳房肿块,肿块逐渐增大,疼痛,质硬。3例边缘光滑,活动度好;1例浅分叶,局部皮肤略凹陷,活动度稍差。1例乳房有分泌血性乳液;3例未见乳房分泌物。CT设备采用西门子Emotion螺旋CT,平扫加增强,层厚3~5mm,增强造影剂采用GE药业欧乃派克非离子造影剂80mL。结果:4例病例CT表现为单个肿瘤,直径2.8~5.0cm,囊实性肿块,表现类圆形,外缘光整,囊壁局部呈不规则增厚,平扫壁结节呈中等密度,增强后明显强化,液性部分不强化,壁轻度强化。腋窝及锁骨下未见明显增大淋巴结。结论:乳腺导管内乳头状癌为乳腺癌少见类型,增强CT具有特征性影像表现,可以做出准确影像诊断。
Abstract:
Objective: To explore the value of imaging diagnosis of intraductal papillary carcinoma of breast CT. Methods: To collect 4 cases of clinical operation confirmed intraductal papillary carcinoma of breast CT image data, all female, age 68-84 years old, average 76.25 years old, medical history in 6 months~1 years, all unilateral, sporadic neoplasms. Clinical manifestations of breast lumps, progressive swelling, pain, qualitative hard, 3 cases with smooth edge, activities of the good, 1 case of shallow points leaves, local skin slightly concave, activity slightly worse. In 1 cases of breast secretory bloody emulsion, 3 cases were breast secretions. Clinical and CT examination data, the CT device using Siemens Emotion spiral CT, scan and enhanced, a thick layer of 3-5 mm, contrast agent using GE pharmaceutical company is the Onipic contrast agent 80 m L. Results: 4 cases of CT as a single tumor, diameter 2.8-5.0 cm, cystic, showing round, edge finishing, cystic wall local irregular thickening, scan wall nodule showed are medium-density, marked enhancement after the liquid part, not enhanced, wall enhancement. Axillary and subclavian no significant increased lymph nodes. Conclusion: intraductal papillary carcinoma of breast cancer rare types, enhanced CT has characteristic imaging findings, can make accurate diagnosis.
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