550例乳腺导管内乳头状瘤(病)X线征象分析  

Analysis of X-ray signs in 550 cases with intraductal papilloma(papillomatosis)

作　　者：姚文青[1] 姚国燕[1] 张思伟[1] 张璘[1] 

机构地区：[1]广东省中医院放射科,广州510120

出　　处：《影像诊断与介入放射学》2009年第4期190-192,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的分析、对照乳腺导管内乳头状瘤(病)及合并非典型增生、癌变等几种不同的X线表现,提高对乳腺导管内乳头状瘤(病)及合并非典型增生、癌变X线征象的认识。方法回顾性分析550例经病理证实的乳头状瘤(病)及合并非典型增生、癌变的病例的X线表现。结果550例中,乳头状瘤284例(51.64%),乳头状瘤病28例(5.1%),合并非典型增生195例(35.45%),乳头状瘤(病)合并非典型增生及局灶癌变43例(7.81%)。结论①乳腺导管造影检查对诊断导管乳头状瘤(病)及非典型增生、癌变有非常重要的价值。②导管乳头状瘤(病)是一种潜在的癌前病变,常合并非典型增生,部分在此基础上局灶癌变。Objective To improve the understanding of X-ray findings of intraductal papilloma （papillomatosis）, and the cases associated with atypical hyperplasia or canceration by analyzing and comparing their different X-ray findings. Methods X-ray findings of 550 cases of intraductal papilloma（papillomatosis） and/or associated with atypical hyperplasia or canceration confirmed with pathology were retrospectively analyzed. Results Among the 550 cases, there were 284 cases of papilloma（51.64%） and 28 cases of papillomatosis （5.1%）. Papilloma associated with atypical hyperplasia accounted for 35.45%（195 cases）. While 43 cases of papilloma （papillomatosis） associated both with atypical hyperplasia and canceration （7.81%）. Conclusion （1）Galactography is a valuable procedure for diagnosis of papilloma （papillomatosis）, and papilloma associated with atypical hyperplasia or canceration. （2）Papillomatosis is a potential cancerate disease, usually accompanies with atypical hyperplasia in which some cancerate lesions could be found.

关 键 词：乳腺导管造影 乳头状瘤 非典型增生 

分 类 号：R737.9[医药卫生—肿瘤] R571.1[医药卫生—临床医学]