螺旋CT在乳腺疾病的应用.PDFVIP

·746 · Chi na J MI T Aug 200 1 Vol 17 No 8 螺旋 CT 在乳腺疾病的应用 刘明娟, 黄兆民, 郭 燕, 罗小梅 ( 中山医科大 学附属第一 医院放射科 , 广 东 广州 5 10085) [ 摘 要] 目的 评价 CT 在乳腺疾病诊断和鉴别诊断 的价值 。方法 52 例病理证 实的乳腺疾病 先作全 乳腺的平 扫, 其 中38 例平扫后加增强扫描 。47 例 同时进行钼钯照片。结果 肿块边缘的毛刺、尖 角及细小的簇状钙化为乳腺 癌较特征性的表现 。病灶 明显强化、皮肤增厚、皮下索条状增粗影也是重要的征象。结 论 CT 在乳腺疾病 的诊 断和 鉴别诊断, 判断预后有重要价值 。 [ 关键词] 乳腺; 断层摄影术, X 线计算机 [ 中图分类号] R445 .3 ; R322 .66 [ 文献标识码] A [ 文章编号] 1003- 3289( 200 1) 08- 0746- 03 The Application of Spiral CT Scanin Breast Disease LI U Mi n g-j u an , H UA N G Zha o- mi n , GUO Yan , et al ( Depart ment of Radiol ogy , The First Af f ili ated Hospital , Sun Yat-sen Uni versit y of Me dical Sci ences , Gua n gzhou 510085 , China) [ Abstract] Obj ective To eval uate the val ue of the spiral CT i n diagnosi s and differenti al diagnosis of breast di sease . Methods 52 pati ents wit h breast disease confi r med by pathology , CT scan on t he breast was perfor med , a mong which 38 pati ents received contrast enhanced CT scan . Ma mmography was al so perfor med i n 47 patients . Results Breast cancer was characterized wit h its crabli ke margi n , fi ne cl uster of calcificati on , whil e ot her i mportant evi dence i ncl uded t he apparent enhancement of t he lesi ons , t hickened ski n and sub-coetaneous thi ck stri pes . Conclusion CT is a val uabl e modality i n diagnosis , differential di agnosi s and anti ci pati on of t he prognosis . [ Key words] Breast ; To mography , X-ray