乳腺癌钼靶平片诊断.ppt

 Mammography Diagnosis of Breast Cancer乳腺癌钼靶平片诊断 昆医附一院影像中心 李俊 医师 Breast Cancer Risk Factors What is the breast cancer? mass（肿块） nipple retraction （乳头内陷） dimpling sign （酒窝征） peau d’orange （橘皮样皮肤） bloody discharge （乳头血性溢液） enlargement of axillary lymph nodes（腋窝淋巴结肿大）   Mammography Finding of Breast Cancer乳腺癌钼靶平片表现 2.Spicular（毛刺） 4. local dense infiltration（局限致密浸润） Thank You! * * L.O.G.O Breast Cancer Breast Cancer Audrey Hepburn  1 in 8 women may develop breast cancer during lifetime. Age Reproductive History Obesity Radiation All women are at risk Family History Treatment with DES(雌激素类) Race 胸大肌 胸壁 腺叶 输乳管 皮下脂肪 腺泡 (acini) 末梢导管 Clinical Manifestation CC位（头-尾位）Cranio-Caudal view MLO位（侧－斜位） Medial-Lateral-Oblique Mammography Direct Signs 直接征象 Indirect Signs 间接征象 1.mass（肿块） Direct Signs irregular 不规则的 high density 高密度的 indistinct circumscribed 边界不清的 Direct Signs 成群无法计数的微小钙化，呈泥沙或针尖样、分支状 Direct signs uncountable micro-calcification 3. malignant calcification（恶性钙化） sand or needle point, branched 须两侧对比观察 Direct Signs Indirect Signs nipple retraction 乳头内陷 tunnel sign 漏斗征 skin thickening 皮肤增厚 increased vascularity 血运增加 enlargement of axillary lymph node腋窝淋巴结肿大 All women are at risk Mammography finding Clinical manifestation Summary How to diagnose the breast cancer? * * *