目的分析乳腺癌钼靶X线摄影征 象，并与乳腺良性病变进行鉴别。方法选择62例乳腺癌患者为研究对象。另选择 以肿块为主要表现的乳腺良性病变30例， 以钙化为主要表现的乳腺良性病变30例进 行对照。所有患者均接受乳腺钼靶X线检 查。观察乳腺癌病灶钼靶X线摄影征象， 包括病变大小、形态、密度、边缘等，重 点分析肿块及钙化特征。并与乳腺良性病 变进行对比。结果 1.乳腺癌主要征象包 括单纯肿块、单纯钙化、肿块合并钙化及 钙化合并结果扭曲等。其中表现为肿块最 多，共52例，比例为83.9%，表现为钙化 次之，共23例，比例为37.1%。2.在肿块 径线方面，乳腺癌与乳腺良性病变边界无 统计学差异(P＞0.05)。但乳腺癌形态不 规则，边缘毛刺、分叶及边界模糊的比例 显著高于乳腺良性病变，差异具有统计学 意义(P＜0.05)。3.乳腺癌病变中泥沙、 短棒及针尖样钙化的比例显著高于乳腺良 性病变，而乳腺良性病变圆点、小片及蛋 壳样钙化的比例显著高于乳腺癌，差异均 具有统计学意义(P＜0.05)。结论 乳腺癌 钼靶X线征象主要包括肿块及钙化，且其 主要征象与乳腺良性病变比较具有显著差 异。

Objective To analyze breast cancer mammography features, and differential diagnosis of benign breast lesions. Methods The research object was 62 cases of breast cancer patients. 30 cases benign breast lesions with mass as the main manifestation and 30 cases benign breast lesions with calcification as the main manifestation were chosen as control. All patients underwent breast mammography, the features of breast cancer mammography Including the lesion size, shape, density, edge were analyzed. Focus on the analysis of mass and calcification feature. Results 1.breast cancer signs included simple mass, pure calcification, mass with calcification and calcification combined with the distorted. Mass accounted for the most, a total of 52 cases, accounted for 83.9%; following by the calcification, a total of 23 cases, accounted for 37.1%. 2 in the tumor diameter, there was no significant difference between breast carcinoma and benign breast lesion (P>0.05). The rates of irregular shape, edge burr, leaves and fuzzy boundary of breast cancer was higher than that in benign breast lesions, the difference was statistically significant (P<0.05). the rates of Sediment, short rod and needle like calcification in breast cancer lesions was higher than that in benign breast lesions, And the rates of small dots and eggshell calcification proportion of benign breast lesions was significantly higher than that in breast cancer, The differences were statistically significant (P<0.05). Conclusion breast cancer molybdenum target X-ray signs included mass and calcification, and its main features and benign breast disease with significant difference.