男性乳腺发育症X线分析100例报告  

作　　者：黄永红[1] 张慧霞[1] 

机构地区：[1]河南洛阳市郑州大学附属洛阳中心医院,471009

出　　处：《中国社区医师（医学专业）》2013年第24期86-87,共2页

摘　　要：目的：提高对男性乳腺发育症的认识。方法：收治男性乳腺发育症患者100例,回顾性分析本症临床及X线表现。结果：100例患者中,15~25岁50例,40~50岁10例,55~70岁40例。患者均有乳房肿块及胀疼等症状,酒后生气后加重,病程3~12个月。双侧乳房增大60例,单侧增大40例。80例经手术病理证实,20例经肌注十一酸睾酮连续3个月,1个月1针,口服小金丸及配合光电离子药物治疗后,肿块及症状消失。100例患者均摄双侧乳房钼靶X线斜位和轴位拍片,其X线表现分为4种：①纤维型60例,最为常见,乳晕区可见片状阴影。②大节结状10例,密度大致均匀,圆形或卵圆型,有时可出现哑铃样改变。③小斑片状20例,呈不均匀斑片状密度增高,无明显边缘影。④小节结状10例,为不规则的小结节状影。结论：男性乳腺发育症X线摄影检查具有确诊意义,诊断上需与男性乳腺癌及假性乳房发育相鉴别。Objective：To improve the under-standing of gynaecomastia.Methods：To col-lect 100 cases gynaecomastia patients,from October 2006 to October 2013,retrospective analysis this disease clinical and X-ray per-formance.Results：In 100 cases patients,50 cases 15-25 years old,10 cases 40-50 years old,40 cases 55-70 years old.All pa-tients have symptoms such as breast lump and bilge painful,etc,these symptoms can aggravate after duck and angry,course of dis-ease 3 - 12 months.60 cases the bilaterally enlarged breasts,40 cases unilateral in-crease.80 cases confirmed by surgery pa-thology,20 cases were intramuscular injec-tion testosterone undecanoate,for 3 months, one needle one month,oral Xiaojin pill and photoeleclric ion drug treatment,lumps and symptoms disappeared.All 100 cases pa-tients take the oblique and shaft filmmaking of bilateral breast molybdenum target X-ray, these X-ray performance are divided into four kinds： ①fibrillary 60 cases,the most common,visible shape shadow of areola area;②large knot shape 10 cases,roughlyuniform density,oval or circular, sometimes may ap-pear dumbbell sample change; ③small patchy 20 cases,present uneven patchy, higher density,no sharp edge. ④small knot shape 10 cases,present irregular small nodu-lar shadows.Conclusion：X-ray angiography of gynaecomastia have the diagnosis signifi-cance,need to distinguish with male breast-cancer and pseudo breast development.

关 键 词：男性乳腺发育 X线诊断 

分 类 号：R655.8[医药卫生—外科学]