Sickles E A
Radiology. 1986 Aug;160(2):289-93. doi: 10.1148/radiology.160.2.3726103.
Breast calcifications may be categorized as benign, probably benign, and suggestive of malignancy. The interpretation scheme presented here utilizes a systematic structured approach: identify characteristically benign calcifications, for which no further evaluation is needed; define as suggestive of malignancy those remaining calcifications that present as isolated parenchymal clusters of tiny calcific particles; and (optional) attempt to downgrade some of these suspicious calcifications into the "probably benign" category, so that they can be managed by periodic mammographic follow-up rather than biopsy. The clinical acceptability of this approach will vary with local conditions; success in implementing it will encourage increased use of mammography, and ultimately, improved breast health care.
乳腺钙化可分为良性、可能良性以及提示恶性三类。本文提出的解读方案采用系统的结构化方法：识别特征性的良性钙化，这类钙化无需进一步评估；将其余表现为微小钙化颗粒孤立实质簇状的钙化定义为提示恶性；（可选）尝试将其中一些可疑钙化降级为“可能良性”类别，以便通过定期乳腺钼靶随访而非活检来处理。这种方法的临床可接受性会因当地情况而异；成功实施该方法将鼓励增加乳腺钼靶检查的使用，并最终改善乳腺保健。
