Chebykin I A
Vopr Onkol. 1983;29(8):16-22.
The results of examination of 1,080 patients operated for carcinoma tuberosum of the breast at the clinic of the Institute in 1968-1978 are discussed. Distinct boundary of tumor growth was established in 281 cases by gross examination of tissue obtained by mastectomy. The results of X-ray examination were improved by means of histotopographic sections of tissue specimens in 100 cases. It was shown that distinct boundary of the growth of carcinoma tuberosum of the breast may be adequately identified in most cases on the basis of mammographic evidence (even, undulate or polycyclic contour of malignancy). Also, it was established that mammography offers a more adequate means of preoperative identification of the actual size of tumor than palpation does. An analysis of the mammographic picture contributes to the choice of the most efficient scheme of treatment of breast cancer patients.
本文讨论了1968年至1978年间在该研究所临床接受乳腺结节癌手术的1080例患者的检查结果。通过乳房切除术获取的组织大体检查,在281例病例中确定了肿瘤生长的明显边界。通过对100例组织标本进行组织拓扑切片,X线检查结果得到了改善。结果表明,在大多数情况下,基于乳房X线摄影证据(恶性肿瘤边缘均匀、呈波浪状或多环状),可以充分识别乳腺结节癌生长的明显边界。此外,还证实乳房X线摄影在术前识别肿瘤实际大小方面比触诊提供了更合适的方法。对乳房X线摄影图像的分析有助于选择乳腺癌患者最有效的治疗方案。