Sawyer R H, Asbury D L
Department of Radiology, Withington Hospital, Manchester.
Clin Radiol. 1994 Mar;49(3):185-8. doi: 10.1016/s0009-9260(05)81773-8.
The mammographic appearances in 17 patients with Paget's disease of the breast were retrospectively reviewed. Appearances were normal in only five cases. Microcalcification was present in 10 including one where it encircled the nipple. A radiologically-visible tumour was seen in nine breasts with carcinoma being diagnosed in a further three by the pattern of calcification alone. Multifocal tumours were present in four breasts but no lymphadenopathy or contralateral tumours were seen. Despite high quality radiography a tumour was only detected in 71% of cases of Paget's disease and radiographers should be trained to recognize the condition clinically. Patients without a visible tumour may be suitable for radiotherapy.
对17例乳腺佩吉特病患者的乳房X线表现进行了回顾性分析。仅5例表现正常。10例出现微钙化，其中1例微钙化环绕乳头。9例乳房可见放射学上可显示的肿瘤，另有3例仅根据钙化模式诊断为癌。4例乳房存在多灶性肿瘤，但未见淋巴结肿大或对侧肿瘤。尽管进行了高质量的X线摄影，但仅在71%的佩吉特病病例中检测到肿瘤，放射技师应接受临床识别该疾病的培训。无可见肿瘤的患者可能适合放疗。
