Meunier B, Lévêque J, Le Prise E, Watier E, Fleury P, Grall J Y
Service de Chirurgie Oncologique, CRLCC Eugène-Marquis, Rennes.
J Gynecol Obstet Biol Reprod (Paris). 1994;23(6):653-9.
OBJECTIVE. Diagnostic value of breast clustered microcalcifications discovered by mammography. DESIGN. A retrospective study. SETTING. Oncology Center of Rennes. SUBJECTS. 58 women (study group) with breast clustered microcalcifications without palpable tumour were operated. SURGERY. Prior to surgical removal of microcalcification, needle localization was performed. Histological results. We observed, 36 benign lesions (59%), 25 carcinomas (45%), 10 of them in situ and 15 infiltrative. RESULTS. Different radiological parameters were studied in relation to histological results, the vermicular morphology of microcalcification, an increased number, their triangular aspect, provide clue to the presence of breast carcinoma. The cluster of stippled calcification is not, in our series suggestive of a carcinoma, but also requires histopathological study, owig to the fact that in such cases, we have as many carcinomas as benign lesions. FINDING. Careful analysis of microcalcifications, within the clinical context, ensures a safe attitude, and enables one to operate only carcinomas.
目的。乳腺钼靶检查发现的乳腺簇状微钙化的诊断价值。设计。一项回顾性研究。地点。雷恩肿瘤中心。研究对象。58例乳腺有簇状微钙化但未触及肿块的女性（研究组）接受了手术。手术。在手术切除微钙化之前，进行了针定位。组织学结果。我们观察到，36例良性病变（59%），25例癌（45%），其中10例原位癌，15例浸润性癌。结果。研究了不同的放射学参数与组织学结果的关系，微钙化的蠕虫状形态、数量增加、三角形外观提示乳腺癌的存在。在我们的系列研究中，点状钙化簇并不提示癌，但也需要进行组织病理学研究，因为在这种情况下，癌和良性病变的数量一样多。结论。在临床背景下仔细分析微钙化，可确保采取安全的态度，并使仅对癌进行手术成为可能。
