乳腺钙化诊断和分级.pptx

乳腺钙化鉴别诊断与分级;;;;;1.解剖;;诊断办法; ;一.良性钙化1. Skin Calcifications ;2. Vascular Calcifications;3. Suture calcifications;4. Coarse or Popcorn-like ;;5.Large Rod-like, Plasma cell mastitis;;6. Round and punctate calcifications ;7. Lucent-Centered;8. Eggshell or Rim Calcifications ;;;9. Milk of Calcium;10. Dystrophic calcifications;二.可疑型钙化 这种钙化呈无定形或粗细不均匀状，常需要活检确定性质。;;无定形钙化;2.粗大不均质钙化;;粗大不均质钙化鉴别诊断;高度恶性钙化;细小多形性钙化;细小多形性钙化;;;;细小多形性钙化;细小线样或细小分枝状 细小线样或弯曲不规则钙化，一般0.5mm，暗示管腔充填，如“铸形” 。一般为BI-RADS5;细小线样或细小分枝状;细小线样或细小分枝状;;2.钙化分布：; ;;3.随时间变化; （左图为伴粗细不均钙化患者，为BI-RA