乳腺癌的影像学诊断2010.10.29课件.pptVIP

Epidemiology At present, China accounts for female breast cancer incidence rate of incidence of the first. 发病率高 On women‘s physical and mind damage the most. 身心损伤大 Diagnosis and treatment more difficult.诊断及治疗较困难 Pathological type 1. Differentiation of low breast cancer:分化低的乳腺癌1) hardware carcinoma硬癌2) medullary carcinoma髓样癌3) diffuse carcinoma (also known as inflammatory cancer)弥漫性癌(亦称炎性癌) 4) mucinous carcinoma (also known as colloid carcinoma) 粘液癌(亦称胶样癌) Pathological type 2. Highly differentiated breast cancer:分化高的乳腺癌 1) adenocarcinoma腺癌2) ductal carcinoma (also known as tube cancer)导管癌(亦称管内癌) 3)papillary carcinoma (also known as papillary adenocarcinoma)导管癌(亦称管内癌) 4) eczema-like cancer (also known as Pagets nipple disease)湿疹样癌(亦称Paget氏乳头病)  Clinical manifestations Breast lumps 乳房肿块 Nipple discharge 乳头溢液 Changes in the breast skin and contour乳房皮肤及轮廓改变 Inspection methods Ultrasound Mammography 钼靶X线 MRI Near infrared scanning 近红外线扫描 Positron emission tomography (PET) Enhanced CT Ultrasound Solid hypoecho低回声Without capsule无包膜 Border clearance边界清 Heterogeneous不均匀internal echo Strong echo can be seen clustered calcifications钙化 mammography See the upper outer quadrant mass in shallow leaf浅分叶肿块影 Less clear boundary See clusters of calcification 其内见成簇钙化 MRI Features Irregular不规则mass Lobulated分叶状 edges Blur模糊, rough毛糙 Crab-like growth呈蟹足样生长 Ill-defined, MRI Features Liquefaction necrosis液化坏死seen in the larger lesions MRI Features Quick significantly明显enhanced Rapid clearance廓清 Around the beginning of the spread of the disease centers 向心性强化 Liquefaction necrosis and bleeding液化坏死及出血has always been part of no enhancement Time - intensity curves（TIC） Time - intensity curves（TIC） Most of the benign lesions showed persistent持续型to enhance Most malignant lesions showed clearance-type廓清型enhanced Platform-type平台型can be benign lesions, but also for malignant lesions. Diagnosis of breast cancer BI-RADS classification 分级 Level 0: assessed评估is not com