乳腺错构瘤X线病理对照分析  

Breast Hamartomas:Mammographic-Pothologic Correlative Analysis

作　　者：贾振英 吴凯[1] 王振基[2] 张文远[2] 

机构地区：[1]内蒙古自治区医院放射科,内蒙古呼和浩特010017 [2]内蒙古自治区医院病理科,内蒙古呼和浩特010017

出　　处：《实用放射学杂志》2001年第8期568-571,共4页Journal of Practical Radiology

摘　　要：目的　探讨乳腺错构瘤X线平片、导管造影、注气造影表现及其病理基础。方法　分析X线检查并经病理证实的 2 6例 ,其中 2 6例投照X线平片 ,13例行导管造影 ,5例行注气造影 ,12例行标本X线摄影 ,并进行X线病理对照分析。结果　全部病例均为良性、局限性生长 ,有完整包膜。X线表现因瘤体内所含脂肪和纤维腺体成分的数量不同而异 ,可分为三型 :脂肪为主型、纤维(纤维腺体 )为主型和脂肪纤维混合型。结论　X线可清晰显示脂肪和纤维腺体成分分布的区域 ,形成特征性“香肠切片”样征象。导管造影和注气造影有助于鉴别诊断。Objective To investigate the mammographic,galactographic,pneumographic features and their pathological basis.Methods Mammography(n=26),galactography(n=13),pneumography(n=5)and specimen radiography(n=12) in 26 cases pathologically proved,and mammographic-pathologic correlation were analyzed.Results The breast hamartomas in 26 cases were all benign,they were circumscribed and surrounded by a true capsule.The mammographic appearances could be divided into three types acording to different amount of fibroglandular and adipose tissue in tumors:prominantly fatty,prominantly fibrous(fibroglandular)and mixed fibrofatty.Conclusion A clearly containing areas of fat and fibroglandular density and a characteristic'slice of sausage'appearance can be showed on mammograms.Galactography and pneumography is of a great help to differential diagnosis of breast hamartomas.

关 键 词：乳腺肿瘤 X线摄影术 放射摄影术 乳腺错构瘤 X线诊断 病理 

分 类 号：R737.9[医药卫生—肿瘤] R730.44[医药卫生—临床医学]