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《Journal of Clinical Radilolgy》 2001-01
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Mammographic Manifestations of Early Breast CancerA Report of 40 Cases

HE Ziyuan, HUO Shuyao, XU Kaiye. Department of Radiology, Orient Breast Disease Hospital, Shanghai 200052, P.R.China  
Objective To improve the understanding of the X ray features of early breast cancer.Materials and Methods The mammographic manifestations of 40 patients with early breast cancer were retrospectively analyzed.Results The X ray signs were as follows: (1) sand like microcalcifications (n=30, 75%), with it being the only X ray finding in 18 cases (45%); (2) localized increased density compared with the normal breast (n=15, 37.5%); (3) dense nodules (n=14, 35%); (4) localized tortuosity or disturbance of mammary gland architecture (n=4,10%); (5) dilated mammary duct (n=5, 12.5%); (6) increased tortuous and dilated vessels (n=1); and (7) no abnormal signs (n=1).Conclusion (1) Microcalcification is a very important X ray sign for diagnosing early breast cancer, sometimes it is the only sign of malignancy. (2) Early breast cancer should be considered when asymmetrical and localized increased densities are present and no history of mastitis or biopsy exists. (3) The malignant dense nodules mixed in beading nodular gland tend to be neglected, one should compare the diseased breast with the normal one in order to detect tiny tumor lesions. (4) Biopsy should be carried out when a small fibroadenoma is suspected clinically and the border of the nodule is hazy or spiculated on mammograms.
【CateGory Index】: R737.9
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