男性乳腺常见病变的临床和FFDM影像表现探讨  

Clinical and full field digital mammography findings on common male breast diseases

作　　者：郑凯尔[1] 张元宁[1] 刘万花[1] 金爱萍[1] 

机构地区：[1]东南大学附属中大医院放射科,江苏南京210009

出　　处：《东南大学学报（医学版）》2006年第1期38-40,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的:探讨男性乳腺增生和乳腺癌临床及全数字化乳腺摄影机(FFDM)影像表现,提高对男性最常见乳腺病变的认识。方法:分析27例男性乳腺增生和1例男性乳腺癌患者的临床资料和FFDM影像表现。结果:男性乳腺增生FFDM影像表现为乳晕后区局限性片絮状的增生腺体(18例),全乳腺体呈扇状或盘状弥漫性增生(5例),腺体增生伴导管增生(4例)。乳腺癌FFDM影像表现为乳头后偏心侧致密肿块,境界清楚,肿块内有低密度灶,伴簇状细点钙化灶。结论:根据临床表现和FFDM影像学特点,可对男性乳腺增生和乳腺癌作出正确诊断及鉴别诊断。如疑有男性乳腺增生同时伴有乳腺癌时,诊断应慎重。Objective To improve the diagnosis of common male breast diseases by studying their clinical and full field digital mammography （FFDM） findings. Methods Twenty-eight male patients （mean age,58 years;range,26-77 years） underwent FFDM, which indicated 27 male with breast hypertrophy and 1 male breast cancer. Their clinical and FFDM findings were analyzed. Results The imaging appearance of male breast hypertrophy on FFDM was characterized as following： 1 ）localized pathy-like hypertrophic gland behind the mammary areola （n = 18 ） ; 2）diffuse, discal hypertrophy of the whole breast （ n = 5 ） ; 3 ） gland hyperplasia companied by ductal hyperplasia （ n = 4）. The imaging finding of breast cancer on FFDM was demonstrated by a well-defined, dense mass medially behind the nipple with low-density shadow and fine cluster calcification focus in the mass. The inquiry of patients history is helpful in defining the etiology. Conclusions The differential diagnosis between the male breast hypertrophy and breast cancer based on their clinical and FFDM features respectively is feasible. Diagnosis should be made with discretion when a combination of the both diseases is doubt.

关 键 词：乳腺纤维囊性病 乳腺肿瘤 男性 乳房X线摄影术 图像处理 计算机辅助 

分 类 号：R655.8[医药卫生—外科学] R737.9[医药卫生—临床医学]