Objective:To investigate the appearance of solid papillary carcinoma(SPC)of breast on full-field digital mammography(FFDM)and its clinical pathological features so as to improve the diagnosis of this disease.Methods:The data of 15 cases with breast SPC proved by operation and pathology were analyzed retrospectively.The clinical history,FFDM imaging findings and pathological features were analyzed,and binomial test was performed to evaluate the features of SPC on FFDM.Objective:All cases were pathologically diagnosed as SPC,including 1 case combined with high-grade intraductal carcinoma and 1 case with mucinous adenocarcinoma.In 13 patients,FFDM images showed mass lesions: 12 cases had high-density shadows,9 lesions had clear margins,4 cases had blurred edges;all 13 cases had microlobulated margins,and 5 lesions had calcification.1 case showed asymmetrical high density,and 1 case had no obvious mass.The binomial test showed that there were significant differences in microlobulated margins and high-density,but there were no significant differences in other signs.Conclusions:There are some features of SPC on FFDM,such as microlobulated margins and high density.Most lesions have clear edges and are related to pathological features.%目的:探讨乳腺实性乳头状癌(solid papillary carcinoma,SPC)的全数字化乳腺摄影(full-field digital mammography,FFDM)表现及临床病理特征,提高对该病的诊治水平.方法:回顾性分析经手术病理证实的15例乳腺SPC患者的资料,分析其临床病史、FFDM表现及病理特征,并对SPC的FFDM征象进行二项式检验.结果:15例SPC患者中,1例合并高级别导管内癌,1例合并黏液腺癌.13例患者FFDM图像上发现肿块,其中12例表现为高密度影;9例病灶边缘清晰,4例边缘模糊;13例均表现为边缘浅小分叶;5例病灶内见钙化.1例表现为不对称性致密影,1例未见明显肿块.二项式检验结果显示,边缘浅小分叶、高密度差异有统计学意义(P<0.05),其他征象差异无统计学意义.结论:乳腺SPC的FFDM表现为边缘浅小分叶、高密度等,大多数病灶边缘清晰,且与病理特征相关.
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