Cetin M, Cetin R, Tamer N
Department of Radiology, Ankara Oncology Research and Training Hospital, Ankara, Turkey.
Clin Radiol. 2004 Jan;59(1):92-5. doi: 10.1016/j.crad.2003.09.007.
To determine the age-specific prevalence of breast arterial calcifications in patients with systemic hypertension.
The mammograms and patient records of 2406 women who underwent screening or diagnostic mammography were reviewed retrospectively. Mammograms were evaluated for the presence of arterial calcification and results were coded. Hypertension was defined as use of anti-hypertensive agents and diabetes was defined as use of oral hypoglycaemic agents or insulin.
The prevalence of breast arterial calcification among hypertensives (17.6%) was lower than among diabetics (25.4%). The prevalence in the non-diabetic, non-hypertensive group was lowest (7.3%). The prevalence increased with age in all three groups. The highest prevalence was found in diabetics older than 60 years (81.8%). Breast arterial calcification was not found among women younger than 40 years.
Breast arterial calcification is associated with hypertension and prevalence increases with age. Breast arterial calcification on mammograms may indicate unsuspected hypertension especially in non-diabetic patients.
确定系统性高血压患者中特定年龄的乳腺动脉钙化患病率。
回顾性分析2406例行筛查或诊断性乳腺钼靶检查的女性的乳腺钼靶图像和患者记录。评估乳腺钼靶图像上动脉钙化的存在情况并对结果进行编码。高血压定义为使用抗高血压药物,糖尿病定义为使用口服降糖药或胰岛素。
高血压患者中乳腺动脉钙化的患病率(17.6%)低于糖尿病患者(25.4%)。非糖尿病、非高血压组的患病率最低(7.3%)。三组的患病率均随年龄增加。60岁以上糖尿病患者的患病率最高(81.8%)。40岁以下女性未发现乳腺动脉钙化。
乳腺动脉钙化与高血压有关,且患病率随年龄增加。乳腺钼靶图像上的乳腺动脉钙化可能提示未被怀疑的高血压,尤其是在非糖尿病患者中。