浆细胞性乳腺炎的临床及钼靶X线特征  

The clinical and mammographic features of plasma cell mastitis

作　　者：吴秀蓉[1] 钟山[2] 林玉斌 黄于凡[4] 罗小华[1] 余旭茗[1] 吴昕漪[4] 

机构地区：[1]福建医科大学附属厦门第一医院放射科,3610003 [2]福建医科大学附属厦门第一医院病理科,361003 [3]厦门市妇幼保健院放射科 [4]福建医科大学附属厦门第一医院乳房科,361003

出　　处：《中华放射学杂志》2007年第5期463-466,共4页Chinese Journal of Radiology

摘　　要：目的探讨浆细胞性乳腺炎的临床及钼靶 X 线特征。方法回顾性分析经病理证实的25例28个浆细胞性乳腺炎患者的钼靶 X 线表现及临床资料,均为非哺乳期妇女,中位年龄41岁(26～70岁)。结果 3例呈急性炎性样发作,22例表现为乳腺肿块(1.3～8.0 cm)伴局部疼痛,其中4例为反复发作性肿块,5例伴乳头溢液。钼靶 X 线平片表现可分为4型:炎性样型(2/28)、乳管扩张型(3/28)、局限浸润型(10/28)及结节肿块型(13/28)。较有价值的征象为沿导管长轴扩展的不对称密度增高影、火焰状外观、密度不均伴低密度管状结构及散在棒状或中空小圆形钙化;邻近区域乳腺略紊乱,继发性积油囊肿形成;乳晕下乳管扩张等。结论熟悉浆细胞性乳腺炎的临床及影像特点,有益于指导外科手术。高度怀疑乳腺癌者,组织学检查是最终的诊断依据。Objective To investigate the clinical and mammographic features of plasma cell mastitis. Methods Twenty-five patients （28 lesions） with histologically confirmed plasma cell mastitis, aged from 26 to 70 years （ mean age 41 years）, were examined with X-ray mammography. The clinical manifestations and imaging features were retrospectively reviewed. Results No case was in lactation. The painful irregular masses, ranged from 1.3 to 8cm in size, were found in 22 patients, while 3 patients with acute episode. Recurrent episodes of breast masses were noted in 4 patients. Based on the mammographic appearances, the plasma cell mastitis were classified as the following four types： inflammation-like type （ 2/28 ） , ductal ectasia type （ 3/28 ） , focal infiltration type （ 10/28 ） and nodular type （ 13/28 ）. The valuable radiographic signs： （1） An asymmetrically increased density along the lactiferous duct with a flame-like appearance, inhomogeneous low density tubular structures and scattered stick-shape calcifications. （2） Architectural distortion and oil cysts formation in adjacent area, （3） Subareolar ductal ectasia. Conclusions The clinical and mammographic characteristics of plasma cell mastitis are critical to avoiding unnecessary surgery. Histopathological result is needed for the diagnosis in patients highly suspected of malignancy.

关 键 词：乳腺炎 乳房X线摄影术 

分 类 号：R655.8[医药卫生—外科学]