乳腺硬化性腺病的X线诊断及临床病理分析  

X-ray diagnosis and clinically pathological analysis with sclerosing adenosis of the breast

作　　者：姚国燕[1] 姚文青[1] 张璘[1] 

机构地区：[1]广东省中医院放射科,广东广州510120

出　　处：《实用放射学杂志》2014年第10期1650-1652,共3页Journal of Practical Radiology

基　　金：广东省中医药局科研课题（20112126）.

摘　　要：目的：分析乳腺硬化性腺病的临床、X线表现,结合病理结果,评价 X线在术前鉴别诊断硬化性腺病与乳腺癌的价值。方法回顾性分析25例经手术病理证实为乳腺硬化性腺病的 X线表现及临床特征,并与手术病理进行对照分析。结果25例硬化性腺病中,2例为双侧硬化性腺病,23例为单侧硬化性腺病；6例伴有上皮非典型增生,4例伴导管内乳头状瘤,7例伴纤维腺瘤样结节形成。X线表现：7例表现为中等密度结节影,边缘模糊、欠规则；16例表现为星状影,其中6例为“黑星”,3例表现为“白星”,7例只有一个投照体位显示星状影,另外一个体位显示不清楚或形态变化较大；13例伴钙化,其中4例为小簇状分布的针尖样钙化,2例为粗大、弧形钙化,其余均为散在及区域状分布的点状、针尖样钙化。结论临床表现结合乳腺 X线检查对硬化性腺病与乳腺癌有重要的鉴别诊断价值。Objective To analyze the clinical and X-ray manifestations of sclerosing adenosis of the breast,and to evaluate the val-ue of preoperative differential diagnosis between the sclerosing adenosis and the breast cancer combined with pathology.Methods X-ray manifestations and clinical features of 25 patients with the sclerosing adenosis of the breast confirm by surgical pathology were analyzed retrospectively.Then the X-ray manifestations and clinical features were compared with the pathological results.Results Total 25 patients suffered from the sclerosing adenosis of the breast.Among them,2 cases were bilateral sclerosing adenosis,23 ca-ses were unilateral sclerosing adenosis,6 cases with epithelial atypical hyperplasia,4 cases with intraductal papilloma,7 cases with fibroadenoma nodule formation,and the rest with the pure sclerosing adenosis.X-ray manifestations：7 cases presented the medium density nodular shadows with blurred and irregular edges,1 6 cases showed the star-shaped shadows of which 6 cases were the“black stars”,3 cases of“white stars”.One in 7 cases can only see a star shadow,another was unclear or the form was varied.1 3 patients showed the calcification among 4 cases presented the small clusters of distribution with needlepoint-like calcification,2 cases of bulky curved calcification,and the rest with scattered and regional distribution of dot,needlepoint-like calcification.Conclusion Combined with clinical manifestations,the breast X-ray plays an important role in the differential diagnosis of sclerosing adenosis and the breast cancer.

关 键 词：乳腺 硬化性腺病 乳腺X线摄影 病理学 

分 类 号：R655.8[医药卫生—外科学] R446.8[医药卫生—临床医学]