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J4 ›› 2011, Vol. 17 ›› Issue (1): 29-38.

• 微生物—矿物相互作用专栏 • 上一篇    下一篇

几种乳腺疾病矿化特征初步研究

王长秋, 赵文雯, 鲁安怀, 熊翠娥, 梅   放, 柳剑英   

  1. 北京大学 造山带与地壳演化教育部重点实验室,地球与空间科学学院
  • 收稿日期:2010-12-16 修回日期:2011-02-13 出版日期:2011-03-20 发布日期:2011-03-20
  • 通讯作者: 王长秋,1965年生,男,博士,副教授,研究方向:人体病理性矿物学;
  • 作者简介:王长秋,1965年生,男,博士,副教授,研究方向:人体病理性矿物学;
  • 基金资助:

      国家自然科学基金项目(40872196);国家重点基础研究发展计划资助项目(973 项目)(2007CB815602)联合资助

Characteristics of mineralized focuses in several breast diseases

WANG Chang-qiu,ZHAO Wen-wen,LU An-huai,XIONG Cui-e,MEI Fang,LIU Jian-ying    

  1. Key Laboratory of Orogenic Belts and Crustal Evolution, MOE, School of Earth and Space Sciences, Peking University
  • Received:2010-12-16 Revised:2011-02-13 Online:2011-03-20 Published:2011-03-20
  • Contact: Wang Changqiu, Associate Professor.
  • About author:Wang Changqiu, Associate Professor.

摘要:

利用光学显微镜、环境扫描电子显微镜(ESEM)及红外光谱对乳腺恶性肿瘤、乳腺良性肿瘤、乳腺增生症和乳腺炎
症四类医学病理诊断中常见并且矿化多发的乳腺疾病进行了矿化灶特征研究。通过对不同类型乳腺矿化形成位置、结构以
及钙化性状的综合比较表明,乳腺浸润性癌和原位癌中导管内陈旧性坏死易发生矿化;在乳腺纤维腺瘤中胶原纤维上会形
成大量类似砂粒体的矿化小体;乳腺增生症中矿化灶位于粗大的胶原纤维之间,胶原纤维上沉淀大量矿化小球,矿化灶内
部呈纤维状结构,束状构造,能谱测试结果显示部分钙化灶Ca/P(原子分数)比高于磷酸钙系列矿物的理论比值,说明存
在磷酸钙以外的其他钙盐,如草酸钙沉积;脂肪坏死组织中的矿化灶无特殊发生位置,矿化灶内部呈粗纤维结构。不同类
型乳腺疾病中矿化灶形态存在较大差异。胶原纤维、上皮细胞与矿化作用的发生密切相关。

关键词: 矿化特征, 乳腺浸润性导管癌, 乳腺纤维腺瘤, 乳腺增生症, 乳腺炎症

Abstract:

Mineralization  characteristics  of mineralized  focuses  in malignant breast  tumor, benign breast  tumor, breast
hyperplasia and mastitis frequently accompanied by calcification were investigated using optical microscope, environmental scan
electron microscope  (ESEM) and micro-FTIR  (Fourier  transform  infrared spectroscopy). The results  indicate  that morphology of
mineralization in different types of breast diseases are quite different. Collagen fibers and epithelial cells are closely related to the
mineralization. The calcification is incident to breast invasive carcinoma and breast carcinoma in situ on the old necroses in ducts.
Many calcified nano-bodies resembling psammoma body are formed on the collagen fibers in breast fibroadnoma. The mineralized
focuses with fibrous texture and sheaf structure occur between the collagen fibers in breast hyperplasia, on which many calcified
nano-balls are deposited. EDAX (energy dispersive X-ray analysis) results show that there may exist other calcium mineral (such
as calcium oxalate) deposition than calcium phosphates in breast hyperplasia. The calcified focuses with thick fibrous texture have
no special occurring positions in tissue of fat necrosis.

Key words: mineralized characteristics, breast invasive ductal carcinoma, breast fibroadnoma, breast hyperplasia, mastitis

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