How to treat mammary gland calcifications shown on mammography?

Molybdenum target is a common instrument in medicine. It can detect some diseases in the human body through molybdenum target X-rays. It can also detect the presence of cancer or breast cancer. Breast calcification detected by molybdenum target needs to be treated in time. A treatment plan can be formulated according to the condition. It can also be treated surgically or conservatively with drugs.

1. It can be used as a relatively non-invasive examination method, which can comprehensively and correctly reflect the gross anatomical structure of the entire breast;

2. X-ray examination can be used to observe the effects of various physiological factors (such as menstrual cycle, pregnancy, lactation, menstruation and endocrine changes, etc.) on breast structure, and dynamic observation can be performed;

3. It can reliably distinguish benign breast lesions and malignant tumors;

4. X-ray examination can reveal certain precancerous lesions, and follow-up radiographs can be performed;

5. Conduct follow-up examinations on the pathological changes of breast cancer patients after radiotherapy and chemotherapy, observe the therapeutic effects, and conduct regular monitoring of the healthy breast.

Mammographic X-ray examination is comprehensive, intuitive, easy to operate, safe and relatively inexpensive. It has become one of the best methods for routine clinical examination of breast cancer and breast cancer prevention screening, and contributes to the detection of early cancer, improving the diagnostic consistency of breast lesions and the survival rate of patients.

1. Calcification

The calcification conditions on the molybdenum target image include: flake calcification, cluster calcification, fine point micro calcification, etc. Computer-aided detection of microcalcifications in mammographic X-ray images has become a research hotspot for early diagnosis of breast cancer. This is mainly because small, granular, clustered microcalcifications are an important early manifestation of breast cancer. Foreign statistics show that 30% to 50% of breast malignant tumors are accompanied by microcalcification.

2. Tumor

Space-occupying lesions that can be seen at two different projection positions, among which the edge sign is the most important for judging the nature of the mass, which can be manifested as clear edges, blurred edges, invasive growth, or radial line shadows emanating from the edge of the mass. Compared with the surrounding breast tissue, most breast lumps have high or equal density, and very few may show low density.

3. Structural distortion

It refers to distortion of normal structures without a clear mass visible, including radiating shadows and focal constriction from a single point, or distortion at the edge of the parenchyma.

4. Other Signs

Such as nipples, skin, axillary lymph nodes, etc.

BI-RADS level 0: other examinations are required

BI-RADS grade 1: negative

BI-RADS grade 2: benign

BI-RADS 3: possibly benign, short-term follow-up required

BI-RADS 4: Suspected of malignancy, biopsy recommended

4A: Low Suspicion

4B: Moderately Suspicious

4C: High but Uncertain

BI-RADS grade 5: Highly malignant

BI-RADS 6: pathologically confirmed malignancy