【Summary 】 purpose:Diagnose level for further exaltation the X line of the mammary glands cancer.Method:The writer tallied up through 51 female diameters of surgical operation pathologic confirmation<the X line of the 2 cm earlier period mammary glands cancer express.Result:In 51 sufferers, 30 performances is tumors knot stanza and 24 appear Cu kind calcify;12 appear a small fine shadow;7 partial structure messes;2 lists pay pipe to extend.Conclusion:Diagnosis earlier period mammary glands cancer in addition to value the characteristic advertise for elephant, Cu kind calcify, hair to stab form knot stanza, should also value small fine shadow, the partial structure mess, list pay pipe to extend etc. indirectly advertise for elephant.
【Keyword 】 mammary glands;Tumor;The X line Mu Ba shoots a slice
The mammary glands cancer endangers one of the most familiar malignant tumors of women’s life, its outbreak rate with ill the rate present up-trend, and be taken bad crowd more and more young turn, seriously endanger the women’s health.Discover in early days, in early days diagnosed to cure with earlier period be the key which lowers a mammary glands cancer to die of illness a rate.In numerous images learn the check means, the X line of mammary glands’ photographing a check still keep being most valid, economy of method.This text collect 1990-2005 years my hospital be confirm by surgical operation pathology also complete X line 51 I period mammary glands cancer of the data sufferer, as to it’s the X line’s performance carry on looking back sex analysis as follows.
One data and method
This set 51 all is females, the age is 31 years old~40 years old 8;41 years old~50 years old 23;51 years old~60 years old 13;61 years old~70 years old 6;70 years old bove 1.The average ge is 52.3 years old.Men and pack piece is 44, among them, the companion nipple overflow blood 3, overflow liquid 2, and the skin increases thick 2.51 all shoot mammary glands positive(stalk), side(inclined) X line slice check, combine after the Shu a disease check, according to international nti-cancer ssociation TNM cent expect to expect for the Ⅰ .
The 2 X line express
2.1 directly advertise for elephant
2.1.1 knot stanza the lump copy
30, the X line performance increases Gao, edge for the density unclear or have length the different hair stab of knot stanza shadow, among them the ≤ 1 cm 9;The ≤ 2 cms is 21.10 tumor knot stanza edge hairinesses stab;12 cent pages with whole and shallow edge light;8 edge parts owe pure.
2.1.2 Cu kind calcify
24, appear the Cu kind distribute of small sediment kind calcify, parts of merger contain small pole form, small arc-shaped calcify.19 among those examples calcify cooking stove and lump keep both;3 appear alone;2 merge small cooking stove fine shadow.A merger list pays pipe to extend.
2.2 indirectly advertise for elephant
2.2.one small cooking stove fine shadow
12, the performance is the mammary glands X line slice top the part appear slightly high the big slice of the density at the gland body form shadow, the center density is slightly high, edge misty, scope mostly<1 cm.3 among them merge partial structure mess, 2 merger calcifies.
2.2.2 structure messes
7, the performance is the gland body structure mess, edge irregular and central density the higher small spot slice copy and surroundings gland body the organization have no obvious boundary.4 among those examples appear alone, 3 merge small cooking stove fine shadow.
2.2.3 lists pay pipe to extend
2, appear a milk dizzy empress diameter>2 mm the list pay pipe to extend a shadow.A merger tumor knots stanza, a merger calcify.
3 discussions
The mammary glands Mu Ba X line photographs to become clinical diagnosis mammary glands the head of the cancer to choose a method.The Mu Ba X line is common to photograph and enlarge to photograph other check methods to contain obvious superiority and especially really diagnose a rate to be in the lead ［ one ］ to the small calcify.For mammary glands cancer of the diagnosis has already advertised for the analytical research of elephant to make progress from the typical model X line for diagnose the quest of possibility to the cancer, home position cancer in earlier period.Mammary glands cancer cooking stove’s being actually many greatly then can be on-line in the X to be measure to know, because impact factor is more and have never had already unified an opinion.Generally think, in the fat type the mammary glands, the discover of mammary glands cancer Yu value is for the diameter 0.21 cms~of the 0.26 cms the ［ be one ］ .It is discover in this case the tumor minimum diameter is 0.3 cms.The mammary glands X line shoots report way in each house of accuracy of a slice of diagnosis mammary glands cancer different, main have something to do with X line machine, film photographing quality and the doctor’s experience.The mammary glands cancer Mu Ba X line shoots the slice mainly like next performance in early days.
3.1 knot stanza the lump copy
Its pathologic foundation is because tumor cell to surroundings organization gradually and knot the Di organize of propagate sex reaction.These knot stanzas are in the old-age sex mammary glands atrophy the breast that the fat replace easy manifestation, in the fine type the breast if not the companion have calcify to easiest leak to diagnose.Shine on position in two different hurl up, the manifestation is the center fine shadow, the edge arc-shaped is outstanding, the density is higher and can make sure to knot stanza for the mammary glands tumor, for its property, should change aspect to diagnose from the physical volume, position, density, edge, appearance and the dynamic state.Physical volume and position of tumor aren’t big to discriminate a diagnosis help.The density is a fat or hybrid density, type circular, smooth, appear “dizzy advertise for”, often is a positive pathological changes.Express for compare when the high definition, the appearance anomaly, edge cent page form, rays of star form or hair stab a form, hint that the ill nature possible ［ is 2 ］s, at this time in response to height vigilance, careful observation.Moreover, X line slice lump shadow more clinical Men which up see diagnoses to touch of the lump is small and the important of then malignant pathological changes advertise for.In the generally positive pathological changes, the X line slice top lump shadow often matches or even big diagnose at the clinical Men of size.When tumor knot the stanza be hard to discriminate good malignant, need thin needle to wear to stab cytology or surgical operation to live an organization check.
3.2 Cu kind calcify
The calcify is the mammary glands cancer familiar X line to advertise for elephant, the its pathologic foundation is the lump cooking stove partial malnutrition inside the area, bad dead, bad dead cell deliquescence inside the area cause the calcium salt calm and steady ［ 3 ］s.While having no obvious lump, the emergence of the calcify cooking stove has the very important meaning ［ 4~6 ］s to the diagnosis of the mammary glands cancer.Many earlier period mammary glands cancers according to X on-line Cu kind calcify but is diagnose.The calcify have another small, the performance is a Cu kind, the appearance presents small pole form, curve form and sediment kind, diameter<0.5 mms.The cultural heritage reports that the general calcify appears the rate as 30%~50%, 50% performance in the recessiveness mammary glands cancer see by X line census is a small cluster the very small calcify ［ be 3 ］s.Pure calcify’s most easily appearing ［ in cancer and the pipe home position cancer companion of the pipe home position tinily gradually is 5 ］s.This set 24 it is thus clear that calcify, have 47.06%, 16 performances for not that refreshing and small can not reckon how many sediment kind that become Cu kind’s distribute calcify, 8 mixtures have the small pole form, curve form the calcify, 3 among those examples only take the emergence of the calcify as diagnosis basis, combine a pathology to live check but confirm.Generally think the total amount, density(the calcify number of the unit area) and shape and pathological changes of very small calcify of good malignant relevant:Amount>30;The square Li rice small calcify count(N/S) each time>15~20;The calcify presents a fine sand form, order a form, good form, point of a needle form, divide Cha form’s etc.’s performance’s being the index sign ［ of the malignant diagnosis be 6 ］s.While therefore being to discover calcify, regardless whether companion nodosity lump, all should be to it carry on analyzing completely, not only need to notice appearance, size and density of calcify, but also should notice scope and amount of the distribute of calcify.
3.3 small cooking stove fine shadow
The its pathologic foundation is gradually because of cancer cell with the cell of the unit physical volume count increment and, surroundings fiber organization dropsy with the result that.The X line slice top part appear slightly high the big slice of the density at the gland body form shadow, the center density is slightly high, the edge is misty, female breast with age enlarge, the gland body atrophies degeneration, is replace by the fat organization.Therefore, being a degenerative mammary glands X line slice to up appear lately small cooking stove fine area should consider to have malignant of possibility, perhaps was a mammary glands cancer to expect at the earliest stage of pointed to advertise for.Inside mammary glands whether appear a lately fine shadow to often need a dynamic state observation to in front and back contrast.Deliver fine shadow more inside two side mammary glandses often is a fiber bag the sexually transmitted disease (STD) change of advertise for elephant, but isolated of the fine shadow of new emergence, should cause a value.We think make a mammary glands X line to shoot a slice towards ising 35 years old~45-year-old women’s check-up, should, in order to with later mammary glands X line slice Be comparison, probably discovered a mammary glands cancer in early days.This set 12 performances are slightly high for part at the small fine shadow of the gland body, detection while having 2 among them again a check-up to take a slice of reexamination.
3.4 structure messes
The its pathologic foundation is because the human body organization increases to living reaction to the fiber of malignant tumor and make the fat distort with the interface of normal mammary glands substantial.This kind increase to living to respond in the fat type the breast the hair of result in the mammary glands X line performance typical model stabs to advertise for and contribute to diagnosis.In the fine type the breast, piece the shadow be cover up by the gland body, malignant of unique point to advertise for probably performance is partial structure mess.Mammary glands the chronic burning disease, scar formation, fat be bad to wait forever and can also produce alike structure mess, sometimes and the cancer pure hard differentiation of the structure mess.Can go B when the fine type mammary glands appears structure mess super fish for to have no lump, moreover can for many times wear to stab to expel a cancerous possibility.
3.5 dissymmetries fine shadow
Recognize small cancer cooking stove in the fat type the breast more easy, but in the fine type the mammary glands very difficult, carry on contrast to the double side breast asymmetric according to it of density, contribute to to identify to have have no small cancer cooking stove.Under the normal circumstance, the double side breast may have a light degree dissymmetry, 3%~5%ly even have obvious dissymmetry.Therefore, the dissymmetry shortage lives check by hint, but in response to height value, tight observation, short date reexamination, be appear new focus or focus scope extension or merge other suspicious malignant advertise for elephant should consider the possibility of mammary glands cancer.
3.6 lists pay pipe to extend
In order to take care of form and branch structure, the mammary glands pipe takes care of path in the nipple the most thick, radiate walk to go toward the mammary glands substantial deep place, and become gradually thin.If discover that the milk has a list to pay pipe to extend after ising dizzy, it may be tube inside cancer of the only advertise for.But cause pipe with positive pathological changes to extend still difficult discriminate.Can go mammary glands pipe to build a shadow check further, if the pipe extend, tube wall anomaly, stiff present to eat by moth to have irregular defection and damage of Chong Ying to copy inside kind or rat tail form change or chamber a high Yi cancer then.The list pays pipe to extend if the companion have other cancerses of the chaperonage advertise for elephant to then diagnose not difficult.
3.7 afferent shadows increase to increase thick
Because the tumor’s metabolism is prosperous, the blood supply increase.The X line performance brings trouble the side mammary glands vein blood vessel to increase to increase thick, come together.Pass the analysis to this case, the writer thinks while diagnose, in addition to the characteristic X line of mammary glands cancer in addition to advertise for elephant, also want to cautiously look for to indirectly advertise for elephant more smallly, hard analytical, if appear the isolation small cooking stove fine shadow in same part, doubt is earlier period mammary glands cancer of advertise for elephant, should cause an enough value.Can tight observation, track its development variety or carry on living an organization check further.Further universal medical science knowledge, the ego health care which raises large women realize, make each women be able to watch out for oneself will have the danger of outbreak, periodically carry on breast from check and necessity of breast X line’s shooting a slice be the initial path which discovers a mammary glands cancer in early days currently
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