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