乳腺癌X 线毛刺征的病理学基础探讨 - 放射学实践.PDF

8 6 2003 11 18 11 Radiol Practice, Nov 2003, Vol 18, No. 11 X ## 贾 苹, 魏兵, 邓开鸿, 周翔平 = :探讨乳腺癌X 线毛刺征形态学特点及其病理学基础: 回 性分析51例具毛刺征的乳腺癌X 线 和病理学表现所有病例均具备完整的X 线摄片和病理切片资料:X 线上乳腺癌肿块具备长毛刺征6 例, 短毛刺 征30 例, 星状影15 例病理学上, 肿块毛刺成分均匀者23 例, 不均匀13 例; 而星状影则为 5 例10 例; 肿块周边胶原纤 维活性按低到中度和高度划分,长毛刺征为 6例0 例,短毛刺组征为24 例6 例, 星状影为12 例3 例;肿块周边呈浸润扩 散改变,长毛刺征3 例( 50%) , 短毛刺征27 例(90%) , 星状影 12 例(80%) 毛刺内伴钙化12 例, 均在癌浸润扩散基础上 发生:乳腺癌肿块边缘, 癌浸润扩散是X 线上毛刺征形成的主要病理学基础毛刺内伴钙化是乳腺癌重要的恶性 X 线征象 = 乳腺癌; 毛刺; 病理学 = R361; R737. 9; R814 = A = 1000-0313(2003) 11-0806-03 Spicular signs of breast cancer: mammographic and pathological study JIA Y-i ping, WEI ing, DENG Ka-i hong,et al. Depart- ment of Radiology,Huaxi Hospital,Sichuan University,Chengdu 610041, P.R.China = Abstract Objective: To investigate spicular sign of breast cancer on the mammography w ith pathological correlation. Methods: Mammography of 51 cases of breast cancer w ere retrospectively analyzed with correlation to pathology. Results: Long spicules were present in 6 cases, short spicules in 30, and stellar sign in 15. Histopathologically, tumor cells and fibrous stroma mixed evenly and unevenly in breast cancers with long and short spicules w ere respectively 23 cases and 13 cases. Tumor cells and fibrous stroma mixed evenly and unevenly in stellar sign were 5 and 10, respectively.Low-middle and high level of fibrous hyper- plasia in marginal region of the tumor w ere 6 and 0 in long spicules, respectively; 24 and 6 in short spicules,respectively; 12 and 3 in the stellar tumor,respectively. Infiltration and invasion at the edge of the tumor w ere detected in 3(50%) of tumors w ith long spicules,27(90%) of short spicules and 12(80%) of stellar sign.Calcifications w ithin the spicules were present in 12 cases due to infiltration of tumors.